Essential+ Plan Questionnaire

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Welcome! We are so glad you are getting started with our Essential+ Plan. This package combines two services that work best together: Online Listings and Reviews & Reputation Management.

This form takes about 10 -15 minutes and gives us everything we need to set up both services. We ask everything once – no jumping between separate forms, no repeating yourself.

Let’s get you set up.

Here is what Essential+ includes and what happens after you submit this form:

Online Listings

Your business information will be set up and pushed out across Google, Facebook, Bing, Apple Maps, and 60+ other directories typically within 5 business days.
Once live, we continue to monitor and update so your listings stay consistent and accurate across the web. When anything changes – hours, address, phone – just contact your Account Director and we handle the update.
We check in with you a few times a year to make sure everything is still accurate.

Reviews & Reputation Management

We will set up your review request account shortly.
Review requests go out automatically via email to your customers when you supply us with a list or even just a single email address!
We write responses to all your positive reviews on your behalf.
When a negative review comes in, we reach out to collaborate with you before anything is posted.

Why this matters more than ever:

When customers search on Google, ask a voice assistant, or use AI tools like ChatGPT to find a local business, those tools pull from your listings and your reviews to decide who to recommend. Accurate listings make sure you show up. Strong reviews make sure you get chosen.

Now let’s get the information we need to make it all happen.

Help us connect you with your team – who is your Vivid Image Account Director?(Required)

Cegi Wassman

Heidi Arndt

Kirsten Ahlgren

Kori Sanders

Kristal Ehrke

I’m not sure

ABOUT YOU

First, let’s get your basic contact details. This tells us who we are working with and who to reach when we need you.

Your name(Required)

First Last

Your email address(Required)

This is the address that receives account credentials and updates from our team.

Your phone number(Required)

Your role at the business

BUSINESS INFORMATION

Now let’s cover your business details. This information is used both to set up your listings across the web and to configure your review request account. Accuracy here really matters – take a moment to double-check everything before moving on.

Company name(Required)

Enter your business name exactly as you want it to appear publicly – consistent spelling across all listings is important.

What is your business address?

If you serve customers at your location, this will be shown publicly. If you are a service-area business, we will handle that in the next section

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Is this address shown publicly to customers?(Required)

Yes, customers visit our location

No, we go to our customers

Service area (if applicable)(Required)

List the cities, counties, or regions you serve

Primary business phone(Required)

This is the number that will appear on listings – make sure it is the one customers should call.

Toll-free phone (optional)

Mobile phone (optional)

An optional mobile phone number that can receive texts from your Google Business Profile listing.

Website URL(Required)

Primary business email(Required)

This is the general email address you would like listed in your online directories for customers to contact.

Business category(Required)

What is the primary category or type of business? Be as specific as possible – this affects how you show up in search results

Additional business categories (optional)

BUSINESS HOURS

What are your regular business hours? This is what will show on Google, Facebook, and your other listings. If your hours vary by day, just fill in each one below.

Monday(Required)

Our hours are the same Monday through Friday

Tuesday(Required)

Wednesday(Required)

Thursday(Required)

Friday(Required)

Saturday(Required)

Sunday(Required)

Do you have different hours for holidays or special dates?(Required)

We are closed all major Holidays (New Year’s Day, Memorial Day, 4th of July, Labor Day, Thanksgiving, and Christmas)

Yes, but are different from above

No, my hours are consistent year-round

What are your holiday hours?(Required)

Anything else we should know about your hours?

YOUR ONLINE PRESENCE

Before we get going, we want to know what is already out there. This helps us connect your existing profiles, clean up any inconsistencies, and point your review requests to the right places.

Have you claimed your Google Business Profile?(Required)

Your Google Business Profile is the listing that shows up in Google Maps and Google Search – and it is also where most of your review requests will direct customers.

Yes, it is claimed and I manage it

Yes, but someone else manages it

No, I don’t think so

I’m not sure

What email address has access to your Google Business Profile?

If someone else manages your Google Business Profile, who should we coordinate with?

Google Business Profile URL

Go to your Google Business Profile and copy the URL from your browser.

Have you claimed your Facebook Business Page?(Required)

Yes

I don’t have one

What email address has access to your Facebook Business Page?

Facebook Page URL (if applicable)

Any other review platforms we should know about?

Are you aware of any incorrect or duplicate listings for your business online?

For example, old addresses, misspelled business names, or listings you didn’t create. If yes, we will take care of identifying and resolving them.

Yes, I have seen some

No, not that I know of

I have never checked

Can you give us some details about possible duplicates?

Has your business name, address, or phone number changed in the past 2 years?

Yes

If yes, what changed?

ADDITIONAL BUSINESS DETAILS

A few more details that help your listings stand out. The more complete your profiles, the better they perform in search – including AI-powered search tools

Are you a healthcare organization/facility?(Required)

Yes

What is your National Provider Identifier (NPI)?(Required)

Are you accepting new patients?

Yes

What insurances do you accept?

Are there specific procedures performed at your facility you would like mentioned?

What healthcare related associations does your facility belong to?

Are there specific conditions treated at your facility you would like mentioned?

Is there anything specific you'd like to say about your business?(Required)

Some directories allow a longer description. Aim for 2-4 sentences. If you don’t have specific content in mind, we will create a message for you.

Any awards, certifications, or accreditations we should include? (optional)

Year the business was founded (optional)

Do you have multiple locations?

No, just one location

Yes, I have multiple locations

Do you accept appointments, walk-ins, or both?

Appointments only

Walk-ins welcome

Both

Where can I park when I come to your business?

Is your business wheelchair accessible?(Required)

Yes

Do you have a wheelchair accessible entrance?

Yes

Do you have a wheelchair accessible parking lot?

Yes

Do you have a wheelchair accessible restroom?

Yes

Do you have wheelchair accessible seating?

Yes

What payment types to you accept?(Required)

Cash

Check

Invoice

Visa

Mastercard

Discover

American Express

Other

BRANDING & PHOTOS

Your logo and brand details are used for both your listings and your review request emails. Listings with photos get more clicks, and branded review requests get more responses – so this section is worth the extra minute.

Do we have your logo on file at Vivid Image?(Required)

Yes

Please upload logo here

High-resolution preferred. PNG with transparent background is ideal

Max. file size: 50 MB.

Do you have specific images you'd like used for your listing? If yes, please upload.(Required)

Think: exterior of your building, interior, team photos, work in action. These appear on Google, Facebook, and other directories

Yes

Image #1

Hi-resolution file preferred

Max. file size: 50 MB.

Image #2

Hi-resolution file preferred

Max. file size: 50 MB.

Image #3

Hi-resolution file preferred

Max. file size: 50 MB.

Image #4

Hi-resolution file preferred

Max. file size: 50 MB.

Image #5

Hi-resolution file preferred

Max. file size: 50 MB.

Image #6

Hi-resolution file preferred

Max. file size: 50 MB.

SENDING REVIEW REQUESTS

Here’s how review requests work: You’ll need to gather your customers email addresses, send us the list or upload them yourselves, and requests go out via email automatically. You can add customers using our easy contact page – you can enter them one at a time or upload a CSV file. We’ll send you the link to your custom page shortly.

Prefer to send us a list? That works too. We recommend sending requests within 24-48 hours of a completed job or visit for the best results.

A few questions to help us set things up right for you.

How often do you serve new customers? (approximate)(Required)

A few per week

10-30 per month

30-100 per month

100+ per month

How do you prefer to add customers for review requests?(Required)

There is no wrong answer – pick what fits your workflow

I will enter or upload them myself

I will send a list to your team

Do you have an existing customer list for an initial round of requests?

Yes, I will upload or send a list

No, we will start fresh with new customers

Anything else about your customer flow we should know?

NEGATIVE REVIEWS

Nobody loves a negative review, but how you respond matters a lot. Here is how we handle it:

1. When a negative review comes in, we reach out to you before posting any response.
2. We share what we are thinking and get your input – no surprises, no guessing.
3. Together we craft a response that is calm, professional, and on-brand.

A couple quick questions so we are ready when it happens:

Who should we contact when a negative review needs your input?(Required)

The person who filled out this form

Someone else

Negative review contact name

First Last

Negative review contact email

Are there any topics or situations that require extra sensitivity? (optional)

FINAL QUESTIONS & SUBMISSION

Almost there. Just a couple of last questions and you are done.

Who is the best contact for questions about your listings?(Required)

First Last

What is their email address?(Required)

How would you describe your current online listings & reviews situation?

Basically starting from scratch

A few listings & reviews exist but they are outdated

They exist but they are inconsistent across the web

Pretty solid – just want them managed

Is there anything else we should know before we get started?

Data Consent(Required)

I consent to the information submitted in this form being collected and stored by Vivid Image for project management and communication purposes.