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    Contact Information


    Phone Number*




    Social Channels

    About You

    Please tell us your background info.

    Are you single, married, have kids? Tell us more about you!

    When is your Birthday?

    Tell Us About Your Brand

    Please tell us a little about your product and/or business.*

    How do you define your brand?*

    What year was your business formed?*

    If your product is a book, dvd launch etc, can you tell us more about it? If a book, please tell us who your publisher is.

    Please list two of your short-term goals.*

    Please list two of your long-term goals.*

    Public Relations Experience/Expectations

    Have you worked with a PR agency or publicist in the past?*

    If yes, please tell us a little about what you liked and didn't like about that experience.

    What were your PR goals? How were they measured? Did you receive any coverage?

    What are three of your current PR goals?*

    How do you measure PR success?*

    On a scale of 1-10, how invested are you in building great PR around your brand?*

    Are you looking to build your brand over short or long term PR?

    Do you currently receive any freelance or in-house social media or marketing assistance?*

    Closing Questions

    How did you hear about us?

    Have we left anything out? Let us know more about you!

    Dunn Pellier Media, Inc.

    The Premiere Health and Wellness PR Agency Worldwide


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    11620 Wilshire Blvd., 9th Floor
    Los Angeles, CA 90025

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