Provider survey

Provider intake form

Thank you for your interest in joining the redesign | mobile expert network. Please answer the following questions so we can best understand how to position your service. If you provide your email address, someone will follow up shortly.

Thanks again!

Question Title

* 1. What type of services are you interested in providing?

Other (please specify)

Question Title

* 2. What is the maximum number of hours a week you're interested in answering questions?

1-5

6-10

11-20

21-30

31-40

More than 40

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* 3. How much do you expect to charge per 15-minute call or email interaction?

$0-$5

$6-$10

$11-$15

$16-$25

$26-$50

$51-$75

$76-$100

more than $100

Question Title

* 4. Do you prefer customers contact you by email or phone?

Phone

Question Title

* 5. Which of these methods are you willing to use to connect with customers?

Phone

IM (e.g. Google Hangouts, iMessage, Facebook Messenger)

Video call (e.g. Skype, FaceTime, Google Hangouts)

Provider survey

Provider intake form

Question Title

* 1. What type of services are you interested in providing?

Question Title

* 2. What is the maximum number of hours a week you're interested in answering questions?

Question Title

* 3. How much do you expect to charge per 15-minute call or email interaction?

Question Title

* 4. Do you prefer customers contact you by email or phone?

Question Title

* 5. Which of these methods are you willing to use to connect with customers?

Question Title

* 6. Please enter your email address if you'd like to join the redesign expert network

Question Title

* 7. If you have a blog, please enter the URL

Question Title

* 8. Please leave any additional comments