[contact-form to=”[email protected]” subject=”Follow Up Survey”][contact-field label=”Name” type=”name” required=”1″][contact-field label=”Email” type=”email” required=”1″][contact-field label=”Instagram Name” type=”text” required=”1″][contact-field label=”Which of the following best describes you?” type=”checkbox-multiple” required=”1″ options=”Influencer,Entrepreneur,Small Business Owner,None of the above”][contact-field label=”How would you rate your overall experience with Media Swoon?” type=”select” required=”1″ options=”Great!,OK,Not so good…”][contact-field label=”How would you rate our current prices?” type=”select” required=”1″ options=”Lower than expected,Too expensive!”][contact-field label=”About how many followers did you receive through our promotion?” type=”text”][contact-field label=”How did you hear about us?” type=”select” required=”1″ options=”We messaged you,Google,A Friend,An Advertisement”][/contact-form]