Client Questionnaire

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Confidential Client Questionnaire

What of the following categories best describes your relationship with our Company? *

Current Client

Former Client

Referral Source

Other

If Other, Please Explain:

How did you first learn about our Company? *

How long have you know about our Company? *

Less than 1 year

1 to 5 years

More than 5 years

What is the #1 most important thing our Company could do to improve your overall experience with us? *

What is the #2 most important thing our Company could do to improve your overall experience with us? *

Besides the items listed above, what other things can we do to improve your overall experience with our Company?

Can you describe a particular experience with our Company that made you very happy? *

Can you quantify the dollar amounts of the results of any experiences you have had with our Company? *

Can you describe one or two benefits you have received from working with our Company that you value the most?
Please be specific and tell us how these benefits improved your life. *

Do we have your permission to use your comments and remarks in our marketing materials? *

Yes

Do we have your permission to use your name in our marketing materials? *

Yes

Your Name (as you'd like listed in our marketing materials)

Your Title / Occupation / Company Name (as you'd like listed in our marketing materials)

Your City / State (as you'd like listed in our marketing materials)

If you are human, leave this field blank.

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Contact

Please contact us by providing your information in the boxes below. On average it will take 48 business hours to respond to your inquiry. If your situation needs more immediate attention, please give us a call.

Cincinnati Tax Resolution
Powered By Toph Sheldon
9200 Montgomery Rd., #7B
Cincinnati, OH 45242
Phone: (513) 342-4000
Fax: (888) 508-1289
Email: Info@513Tax.com

Schedule a Tax Strategy Session

Name *

Email *

Phone *

How much does the IRS claim you owe? *

I Am Interested In: *

Tax Strategy Session

Tax Preparation

Tax Negotiation

Tax Settlement

How Did You Hear About Us? *

Online Search

Radio

Social Media

Attorney or CPA Referral

Direct Mail

Other

Message *

Do we have your permission to send you confidential text messages? *

Yes

Do we have your permission to leave you confidential voicemails? *

Yes

Captcha

If you are human, leave this field blank.