Page 1 of 2

Work With Me

Thank you for reaching out.

This form allows me to plan ahead by understanding your current context, so that we can focus on creating an effective experimental strategy.

Please answer the questions to the best of your ability. I understand that you may not have answers for each question yet, this form is merely a starting place.

This form is not used for research purposes.

By completing this form you consent to Emilie Moellenbeck's use of this information to contact you and discuss your product strategy needs.

Your Contact Information

*

Pronouns

*

Pronouns

A

she/her

B

he/him

C

they/their

D

Other

Company Website

Location

What is your role?

*

What is your role?

A

Founder/Co-Founder/Owner

B

C-Suite (ex. CEO)

C

Marketing

D

Social Media

E

Product

Are you the decision making authority?

*

Are you the decision making authority?

A

No

B

Yes

What stage is the product at?

*

What stage is the product at?

A

Idea/concept

B

Launched (<6 months)

C

Scaling

D

Mature

Product Listing (if available)

Product name (placeholders are acceptable)

*

Please provide a brief description of the product:

*

Who are you currently marketing or planning to market the product to?

*

What research has already been conducted? Check all that apply.

*

What research has already been conducted? Check all that apply.

Interviews

Surveys

A/B Testing

None

Other

Describe the goal you'd like to achieve from experimentation?

*

Please provide any questions you may have

*