Google Business Profile Optimization – Intake Form Thank you for purchasing CounselingWise's Google Business Profile Optimization services. To get started, please complete this form as thoroughly as possible. We appreciate your time and input.General InformationName* First Last Email* Enter Email Confirm Email Phone Number* *NOTE: If you need to save your input at any time and continue later, please use the link at the bottom of this page. Your Google Business Profile Optimization InputYour Business Address*This address which will be used to verify your GMB listing. It cannot be a rented address (P.O. Box, UPS store, iPostal) or a known virtual office address (WeWork or Regis, co-working spaces, etc). Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Which phone number would you like to show on your Google Business Profile listing?*Your Website's URL* Please provide at least 3 FAQs with answers. (For example: "Do you offer online therapy?")*Images of Your Business*In order to complete your Google Business Profile optimization we recommend having at least 10 images including your logo, team members, and interior and exterior office photos. Please have these ready to send to your project manager. Please confirm that you understand and will be able to provide images upon request. I confirm Hours of Operation (including Specialty Hours, i.e. holidays)*THIS IS A GOOGLE REQUIREMENT.Attributes You Would Like to Appear on Your "Google Business Profile" Listing * Below, you'll find a list of attributes that Google allows you to display. Please check the boxes for all attributes that apply to your practice, and we will add them to your Google Business Profile listing.Accessibility Identified as Black-owned Identifies as veteran-led Identified as women-led Amenities Wheelchair accessible elevator Wheelchair accessible entrance Wheelchair accessible parking lot Wheelchair accessible restroom Wheelchair accessible seating Restroom Gender neutral restroom Health & safety Appointment required Mask required Staff get temperature checks Staff required to disinfect surfaces between visits Staff wear masks Temperature check required Highlights LGBTQ friendly Transgender safe space Service Options Online care Please share your Google Business Profile access with gbp@counselingwise.com*If you need assistance with sharing, you can find more information on how to do that here: https://support.google.com/business/answer/3403100?hl=en&co=GENIE.Platform%3DDesktop&oco=0. Then, please check the box below to confirm that you have granted us access. I have shared access Please watch the video below for a visual guide on how to share access Thank you for providing your input!
