Public Relations Intake Form

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Account Manager(Required)

Name(Required)

First Last

Email(Required)

Company Name(Required)

What are the top trade periodicals that are important to your industry or that speak to your current and potential clients?

Have you sent out a press release to the media?

Yes

If so, when was the last press release you sent?

Do you currently communicate with journalists and media outlets?

Yes

Do you have a spokesperson designated to speak with the media?

How would you measure effective Public Relations?(Required)

Have you ever received a media request to speak about your company or an issue related to your industry?

Have you ever been quoted in a news article or television news piece?

Do you have a plan in place for media inquiries?

Do you or your staff sit on any board of directors?

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