Client Intake Form - ScopeX Media
ScopeX Media — New Client Intake

Let’s build your
growth strategy.

Complete all sections as thoroughly as possible. Gery reviews every submission personally and will reach out within 1 business day.

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Thank you for your response. ✨

Your intake has been submitted! Gery will review it and reach out within 1 business day. You can also call or text 403-408-6389 any time.
01

Business Information

Tell us who you are and how to reach you.

02

Goals & Services

What are you trying to achieve and what do you need help with?

Services You’re Interested In
03

Budget & Timeline

Be direct — knowing your real budget means no surprises on either side.

04

Social Media & Existing Assets

Share what you have — handles, links, or URLs. Leave blank if it doesn’t exist yet.

Don’t share passwords here. Just confirm what exists. ScopeX will arrange secure access during onboarding.
Existing Platforms u0026 Tools You Use
05

Final Notes for Gery

Anything we haven’t covered — vision, concerns, or context for your first call.

Ready to submit?

Gery personally reviews every intake and will reach out within 1 business day to confirm next steps and book your strategy call.

All information kept strictly confidential • ScopeX Media Inc. Calgary, AB • 403-408-6389