Google Business Listing Questionnaire Information needed to create a Google Account and associated Google Business Listing for your business. The name and photo associated with your Google Account will be recorded when you upload files and submit this form.1. Company representative details* First Last Company representative email* Company Representative phone*2. Official company email address to use to create Google Account.This email address should preferably be generic (e.g. [email protected] or [email protected]) and accessible by the person in question 1 in order to receive verification codes sent by Google). This address will NOT appear on the Google Business Listing 3. Official business/company nameThis will appear on the Google Business Listing. 4. Full business address, including name of building/office block, etc. (Ensure correct spelling is used and include your postal code.) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands 5. Would you like your full address to be visible to website visitors, or ONLY your region (if clients or suppliers visit your office, it is advisable to opt for the former) Yes, clients, affiliates, and/or suppliers frequent my location: please show my full address No, it is not necessary to show my full address, only my region 6. Which main industry category/categories does your business fall under? 7. Email addressTo appear on Google Business Listing. 8. Official company websiteURL 9. Verification: it may be possible to verify your Google Business Listing via email or phone. If not, Google will (snail) mail a physical postcard with the verification code to your listed physical address. We will contact the chosen representative concerning this step. Please consent to this step by ticking the box below.. I consent10. Please indicate your service areas 11. Please indicate your official office days and hours, as well as any days that your office might be closed. 12. Listed office contact number Preferably a landline number - please include your area dialing code.13. Date and year that your company officially opened for business DD dash MM dash YYYY 14. Please provide us with the official company logo that should be visible on your listing. If we already have it on file, you can just skip this.Max. file size: 128 MB.15. Please provide us with photos and/or an official explainer video to add to your listing .e.g. team photos, pics of the interior/exterior of your office, your preferred cover design, if any, a promotional video, etc.Max. file size: 128 MB.Privacy* By using this form you agree with the storage and handling of your data by this website. * To submit this form, you need to accept our Privacy Statement* Accept Privacy StatementPhoneThis field is for validation purposes and should be left unchanged.