Name

First Name

Last Name

Date of Birth

YYYY

Names Online

Any name variations that we need to consider from the standpoint of you being online. If we're helping you with your business, include any variations of your brand name that we should consider.

Bio Information

Hobbies and Interests

Awards and Recognition

Areas of Expertise & Specializations

Active Websites

List the URLs of any active websites that you own and control. Copy and paste the URLs below.

Active Social Media Accounts

List the URLS of any active social media accounts that you own and control. Copy and paste the links below.

Published Work

Provide a list of any published work with URLs.

Publishing Restrictions

If there is anything you do not want published, provide details here.

Publishing Consent

Does BetterReputation have permission to use all photos, video, sound clips, and information you provide to us on online profiles and websites?

Yes

New Client Questionnaire