Name
e-Mail		verify
Website		verify
1)	Do you have a demand product-service with a competitive edge & 100% Control?	Yes No
2)	Do you have a Class A Website (stand alone) with creative-editorial Control?	Yes No
3)	Do you have optimized Header Meta Tags for Keywords, Robots, Description, Title?	Yes No
4)	Do you have optimized Keywords in your Page Body?	Yes No
5)	Is your website Indexed-Cached by the major Search Engines?	Yes No
6)	Do you have Back-Links (1 way links from high traffic websites)?	Yes No
7)	Is your Website Traffic Ranked by Alexa etal?	Yes No
8)	Is your Offering Clear in the 1st 30 Seconds?	Yes No
9)	Do you have Conversion Incentives?	Yes No
Traffic	Current Website Traffic per month
	Primary Traffic Source Pay per Click Ads Search Engines Website Links Referals Other
Budget	for optimization & promotion per month $