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Intake form
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Name
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Email address
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What type of tasks do you need assistance with?
Please select at least one option.
Administrative tasks
Customer support
Lead generation
Social media management
Content creation
Data entry
Research
What is your preferred communication method?
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Email
Phone
Video call
Chat
What is your budget range for hiring a virtual assistant?
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$5 - $10 per hour
$11 - $20 per hour
$21 - $30 per hour
$31 - $50 per hour
$50+ per hour
How many hours per week do you anticipate needing assistance?
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Less than 10 hours
10 - 20 hours
21 - 30 hours
31 - 40 hours
More than 40 hours
What is your preferred time zone for your virtual assistant?
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UTC-12:00 to UTC-10:00
UTC-09:00 to UTC-07:00
UTC-06:00 to UTC-04:00
UTC-03:00 to UTC-01:00
UTC+00:00 to UTC+02:00
UTC+03:00 to UTC+07:00
UTC+08:00 to UTC+12:00
What is your industry?
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Technology
Healthcare
Finance
Education
E-commerce
Real Estate
Marketing
Do you have any specific skills or qualifications in mind for your virtual assistant?
Which service or services are you interested in?
Please select at least one option.
Administrative support
Customer support
Lead generation
Additional questions or comments
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