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Website Questionnaire
"
*
" indicates required fields
Step
1
of
4
25%
Step 1 - Customer Information
Name
First
Last
Phone
Email
Preferred Method of Contact
Preferred Method of Contact
Email
Phone
Is this a Personal or Business Website?
*
Personal
Business
Other
Business Information
Business Name
*
Address
Street Address
Address Line 2
City
State / Province
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Business Phone
Type
Type
Cell
Office
Step 2 - Hosting, Domain and Support Information
Do you currently have a domain name?
*
Do you currently have a domain name?
Yes
No
What is your domain name?
Do you need help choosing a domain name?
*
Do you need help choosing a domain name? *
Yes
No
Do you already have hosting?
*
Do you already have hosting? *
Yes
No
Where is your site going to be hosted?
Would you like to know about our hosting options?
Would you like to know about our hosting options?
Yes
No
Do you plan to maintain and update your website yourself?
*
Do you plan to maintain and update your website yourself? *
Yes
No
Would you like to talk about how we can help you with this after your site is complete?
Would you like to talk about how we can help you with this after your site is complete?
Yes
No
Step 3 - Website Information
Please describe your goals for your website and what you want it to accomplish for you.
Who is your target audience?
*
Please describe relevant attributes such as industry, age, etc.
What are the pages that you would like to see as part of your website?
*
example: Home, products, services, contact, etc.
Are there specific features or functions you would like to included in your website?
These could include thing such as contact forms, blog page, payment acceptance, etc.
Are there social media accounts that you would like to have on your website? If so, please provide your username for each below.
Do you plan on writing all the content for your website?
Do you plan on writing all the content for your website?
Yes
No
Maybe
Would you like to learn more about our content development services?
Would you like to learn more about our content development services?
Yes
No
If someone is searching for your business online, what words or phrases will they use to search in Google?
*
Step 4 - Design, Graphics and Photos
Do you currently have a logo?
*
Do you currently have a logo? *
Yes
No
Please upload your logo:
Drop files here or
Select files
Max. file size: 50 MB.
Do you have other brand specific guidelines that you would like us to use?
Do you have other brand specific guidelines that you would like us to use?
Yes
No
fonts, color schemes, etc
I would like to provide my guidelines
I would like to provide my guidelines
By typing them
By Uploading a document
Brand Guidelines *
*
Please share in as much detail the guidelines you would like us to follow when creating your website.
Please upload your guideline document(s)
Drop files here or
Select files
Max. file size: 50 MB.
Do you have business cards or other printed literature you would like to upload for us to review? *
*
Do you have business cards or other printed literature you would like to upload for us to review?
Yes
No
Please upload copies of your business card or printed materials
Drop files here or
Select files
Max. file size: 50 MB.
Do you have specific images you would like to upload for use on your website?
*
Do you have specific images you would like to upload for use on your website? *
Yes
No
Please upload your pictures
Drop files here or
Select files
Max. file size: 50 MB.
Please list websites that you like the look and feel of so we can get a better idea of how you would like your website to look. Please also tell us what you like specifically about them.
*
Please describe below
Is there anything else that you would like to tell us?
Requested Delivery Date
*
MM slash DD slash YYYY
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