* must be filled out

    Name

    Salon/Business

    I am in touch with this lead*
    YesNo

    What is the main reason for not being in touch with the lead?*
    Through which medium did you get in touch with the lead? (You can select multiple)*
    Phone callE-mailText messagesWhatsAppOther

    If other, what medium?

    Did this lead place any orders?*

    From 1 being very unlikely and 10 being very likely, how likely is this lead to place an order?*
    12345
    How much will this lead be ordering per month?*

    Overall, how would you rate this lead on a scale from 1 to 10? (10 being the best possible lead)*
    12345

    You rated this lead very high. How come?*
    You rated this lead very poorly. How come?*

    Notes?