Page 1 of 1

Clear & Simple Co. Intake Form

Section 1: Basic Information

Your full name

Your business name

Website (if applicable)

What type of business do you run?

Section 2: Current Operations

Which best describes your current stage?

A
B
C

Where is most of your business information currently stored?

(select all that apply)

What tools do you currently use to run your business?

Section 3: What’s happening operationally right now?

Which areas feel the least organized or most inconsistent?

(select all that apply)

What is currently taking more time or energy than it should?

If you had to describe your backend in one sentence, what would it be?

Section 4: Support Needs

What are you hoping support would help you do?

(select all that apply)

Is this something you need ongoing support for, or a one-time cleanup?

A
B
C

Section 5: Scope Alignment

Which of the following do you need support with?

(select all that apply)

Which of the following are NOT part of what you’re looking for?

(select all that apply)