Analyze for Impact
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Client Intake Form
First name
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Last Name
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Pronouns
He/Him/His
She/Her/Hers
They/Them/Theirs
She/They
He/They
Ze/Zir/Zirs
Xe/Xem/Xyr
Organization/Business Name
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Date
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Email
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Website or Social Media
What does your organization/business do?
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Who do you work with or serve?
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Select which best fits your business
Immigrants & Refugees
LGBTQ+
Low Income and Underserved Communities
People of Color (POC)
People with Disabilities
Religious and Spiritual Communities
Veterans
Women
Youth/Teens
Coaches and Consultants
Corporate Teams and Executives
Creatives and Freelancers
Educators/Schools/Universities
Government Agencies
Healthcare Providers
Legal and Financial Professionals
Small Business Owners
Startups and Entrepreneurs
Tech Companies
Activists and Advocates
Artists and Performers
Career Changers and Job Seekers
Mental Health and Wellness Seekers
Remote Workers and Digital Nomads
Other
Which of the following best describes your goals right now?
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We need help understanding or organizing our data
We want a dashboard or reporting tool
We need to show our impact to funders or stakeholders
We need someone to clean and prep messy data
We want to build our team's data skills
We're preparing for a grant or evaluation
Not sure yet
How would you describe your current data set up?
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We don't really collect much data yet
We collect data but it's messy or inconsistent
We have data but we're not sure what to do with it
We have some systems and reports but want to improve
We have strong systems but just need project support
Unsure of current data set up
Which of my services are you interested in?
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Data Discovery & Strategy Bundle
Data Cleaning & Preparation Bundle
Dashboard & Reporting Bundle
Impact Evaluation & Storytelling Bundle
Custom Analysis & Capacity Building Bundle
Launch Tier Package
Grow Tier Package
Impact Tier Package
Collaborate
Not sure yet--we need guidance!
When are you hoping to start your project?
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ASAP
Within 1 month
1-3 months from now
3+ months from now
Flexible
What is your budget for this project or engagement?
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Under $1500
$1500 - $3000
$3000 - $6000
$6,000+
Not sure yet
How did you hear about Analyze for Impact?
Event/Workshop
Google Search
Instagram/Social Media
LinkedIn
Referral
Other
Is there anything else you would like to share?
I agree with all terms and conditions.
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