Trademark & Brand Protection Questionnaire

Section 1 — Contact Information

Full Legal Name *

Business Name (if applicable)

Email Address *

Phone Number *

Entity Type *

State of Formation (if business entity) *

Mailing Address *

Website URL

Social Media Handle(s)

Section 2 — The Mark You Want to Protect

Exact Mark / Brand Name to Register * Enter it exactly as you want it protected — spelling and capitalization matter.

Type of Mark *

Word Mark Logo / Design Mark Both

If filing a logo, please email a high-resolution PNG or JPG of the design after submitting this form.

Section 3 — Current Use in Commerce

Is your brand currently being used in commerce? *

Yes, already in use No, planning to launch (Intent to Use)

First Use Anywhere (month / year)

First Use in Interstate Commerce

Interstate commerce means selling online or to customers in other states. Leave both blank if filing Intent to Use.

Section 4 — Goods and/or Services

Describe what your business sells or offers, in as much detail as possible *

Section 5 — Geographic Scope of Protection

Where do you want trademark protection? *

United States only U.S. + International International only

If international, list target countries

Section 6 — Prior Knowledge & Potential Conflicts

Are you aware of any similar brand names or marks in your industry?

Have you used any other names or logos for this brand in the past?

Section 7 — Services You Are Interested In

Preliminary Knockout Search Full Federal Filing Search + Filing

Section 8 — Additional Notes

Anything else we should know? Questions, context, or notes

Authorization & Acknowledgment: By submitting this form, I confirm the information provided is accurate and I authorize Chriselide & Co., LLC to prepare trademark documents on my behalf. I understand this firm does not provide legal advice or attorney representation. Chriselide & Co., LLC is a non-attorney document preparation firm. For legal counsel, I understand I should consult a licensed trademark attorney.