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 What was the opening date of your practice?*Which phone number would you like to show on your Google Business Profile listing?*Potential clients can now message you from GBP. In order to enable this, please provide your cell number or Whatsapp account*Your Website's URL* Please provide at least 3 FAQs with answers. (For example: "Do you offer online therapy?")*Do you offer online appointments?* Yes No Do you see people onsite?*(We recommend you say yes even if it's very rare.) Yes No What languages (including American Sign Language) do you support?*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.Google has stated its preference for businesses that specify holiday/special hours. The opportunity to specify these open 2-3 months before Holidays/Special Days. Would you like to be on our email list to receive reminders to update your holiday/special hours when the window opens? (We'll send you a video showing you how to do it, too).* Yes No Google has stated its preference for GBP listings that are updated regularly (meaning GBP posts added). We are working on a system to create and schedule posts to our client's listing each week. Would you like to hear about this service when we have it ready?* Yes No 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 Social Media InformationAre you actively engaged in social media?(i.e. Facebook, Twitter, LinkedIn, etc.) Yes No Please provide the DIRECT link/url to all of your profile pages below. Please share your Google Business Profile access with gbp@counselingwise.com Before sharing access to your Google Business Profile with CounselingWise, we recommend reviewing this article: How to add & remove owners & managers for your Business Profile Instructions: 1. Go to your Business Profile. 2. Click Menu Menu and then Business Profile settings and then People and access. 3. Click the plus sign at the top right and select 'Add users'. 4. Enter gbp@counselingwise.com in the email address field and click add at the top right of the page. 5. Under "Access," choose Owner or Manager. 6. Click Invite. Please watch the video below for a visual guide on how to share access Then, please check the box below to confirm that you have granted access to gbp@counselingwise.com* I have shared access Thank you for providing your input!
