Marketing Online Reputation Management Brief Form Kindly complete a few short questions so we can better understand your needs. Our team usually follows up via email or a quick call within a few hours. Tell us about your idea and how we can support you. Full Name Email Address Phone Number Selected ORM Package Select an ORM package Starter Professional Elite PPC Startup PPC Scaling PPC Venture Business / Brand / Personal Name Website URL (If Any) Industry / Niche Select your industry Local Business E-Commerce Healthcare Real Estate Technology Education Public Figure Other Current Reputation Situation Select current situation Mostly Positive Mixed Reviews Negative Reviews Present Reputation Crisis Not Sure Main Reputation Concerns Negative Google Reviews Bad Press / Articles Social Media Complaints Fake Reviews Low Online Visibility Competitor Attacks Links to Negative Content (Optional) Platforms to Monitor Google Search Results Google Business Profile Facebook Instagram LinkedIn Twitter / X Review Sites (Yelp, Trustpilot, etc.) Existing Business Profiles No (Need profile setup & optimization) Yes (Profiles already created) Brand Keywords / Name Variations Required ORM Services Review Management & Response Review Generation (Positive Reviews) Negative Content Suppression Reputation Repair Brand Monitoring & Alerts Crisis Management Content Creation for Reputation No Yes (Blogs, PR, positive content) Not sure Monthly Reporting & Monitoring Monthly ORM Retainer Quarterly Monitoring One-Time Cleanup Not Sure Access to Business Profiles No (Need assistance) Yes (Admin access available) Partial access Google Business Profile Access No Yes Not Applicable Additional Notes Regarding Access Urgency Level Immediate (Reputation crisis) High Priority Standard Flexible Monthly ORM Budget (Optional) Under $500 $500 – $1,500 $1,500 – $3,000 Custom Budget Additional Instructions or Concerns Send Full Name Email Address Phone Number Selected Package Starter Entrepreneur Business Plus Custom WordPress Custom PHP Custom Automated Brand Name Industry What is the main purpose of your website? Generate Leads Sell Products / Services Build Brand Authority Portfolio / Showcase Which pages do you need? Any special features or plugins you need? Preferred Website colors or style? Reference Websites (Optional) Do you have a logo? Need Help Yes No Do you have website content ready? Need Help Writing With Yes No Social Links to add? Do you have domain & hosting? Need Help Writing With Yes No Want SEO setup? Not Sure Yes No Website Maintenance Needed? Not Sure Yes No Expected Timeline 1 - 2 Weeks 2 - 3 Weeks Flexible Any additional instructions? Send