Agency Report Card

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Your Company Name*

Name*

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Email*

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Ratings

Please rate us in the areas of energy, rapport, trust, most importantly, are we helping you realize your goals? Feel free to make additional comment

Raport

High	Medium	Low

Trust

High	Medium	Low

Goal Realization

High	Medium	Low

Ratings: Additional Comments

Agency / Client Relationship

There is no right answer to this exercise, it just provides insight into the nature or our relationship. Who is steering the ship? Feel free to make additional comment

Agency/Client Relationship: Who is steering the ship?

Agency Control	Client Control	Balanced Control

Relationship: Additional Comments

Relationship Stage

Just like in marriage, a client-agency relationship moves through various stages. What stage do you see our relationship presently? Feel free to make additional comments.