How did you hear about us?*Please SelectBBB WebsiteBillboard AdClutch.coCrunchbaseExpertise.comFacebook pageHulu Video AdInternet AdLinkedIn company pageProductHoodReferredSearch Engine (Google/Bing)Spotify AdSocial Media AdTV CommercialUpcity.comYelpAngiesListOther / Not Listed

Thank you for giving us the opportunity!

We have a few questions to ask you on the next page about your business.

Great!

Please tell us your name and the email address we have on file for you. 

Email*

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Legal Name* Corporations: My Company Inc | LLC: My Company LLC | Sole Proprietors: FirstName LastNameDoing Business As Name (if any) DBA includes: Fictitious Firm Name or Fictitious Business NameYour direct company email*

Your Mobile NumberWhat is your business industry?*Please SelectAccountingAdvertisingAgricultural ServicesApartmentsArchitectsAssisted LivingAttorneysAuto Repair ShopsBail BondsBakeriesBanksBarsBeauty SalonsCar DealersCar InsuranceCar RentalCarpet CleanersCatering ServicesChiropractorsChurchesClothingCoffee ShopsCommunicationsComputer ServicesConstructionContractorsDay SpasDentistsDoctorsEducationElectriciansElectronicsEmployment AgenciesEngineeringEvent PlanningFinancial ServicesFlooring CompaniesFloristsFurnitureGolf CoursesGrocery StoresHardwareHome ServicesHotelsIndustrial EquipmentInsurance AgenciesInternet ServicesJewelersLawn ServicesLocksmithsMedical ServicesMovie TheatersMoving CompaniesNightclubsOpticiansPest ControlPet StoresPhotographersPlumbersPsychologistsReal Estate AgenciesRestaurantsRoofing ContractorsSecurityShoppingSporting Goods StoresStorageTravel AgenciesVeterinariansYoga StudiosWhat is your job title?*Please SelectOwnerCEO / PresidentChief Marketing OfficerManaging PartnerVice PresidentMarketing ManagerGeneral ManagerOffice ManagerWorkplace Operations ManagerExecutive AssistantOther Not Listed

What is the company main phone number?How many employees do you have?*Please Select12 – 56 – 2526 – 149150 – 500+What is your annual revenue?*Please SelectPre Revenue/Startup< $10,000 – $74,999$75,000 – $149,999$150,000 – $249,999$250,000 – $499,999$500,000 – $999,999$1,000,000 >

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Website Basics

We need to learn more about your current design setup.

1. What type of website are we creating?*Please SelectBasic – no special featuresAdvanced – special features and formseCommerce – No existing shopping carteCommerce – Shopping Cart (Wix/Shopify)eCommerce – WooCommerce Powered2. Do you have your web content ready?*Please SelectYes, take it from my existing websiteYes, it’s in documents, ready to goNope, but I will be writing itNope, and I need help with it

What is your domain url?*

Who is your website hosting provider?*Please SelectA2 HostingAmazon Web ServicesAmeriCommerceBigCommerceBluehostDomain.comDreamHostGoDaddyGreenGeeksHostGatorHostNineHostPapaHostwindsInMotion HostingInterServerIONOSiPageMochaHostNamecheapScala HostingShopifySite5SiteGroundWeb Hosting HubWestHostWix

Please upload your transparent high-quality logo.*Accepted file types: png, gif, ai, psd, svg, Max. file size: 20 MB.
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Website Goals

This helps us understand your business and goals better.

6. Please describe your business*Please describe what your business does: the products/services you offer to your target market (both demographic & geographic) and any other details that will help us understand what you do.

7. Who are your ideal customers?Who is your perfect customer, the one type of customer you love to work with?

8. Why would they want to visit your website?

9. What is the ultimate goal?Please tell us what you would like to happen to your website visitor, the ultimate goal.

10. What is the lifetime value of your customer/client?*Please tell us the total average revenue from your clients over the entire time you have them as a customer.
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Website Functionality

This is the fun part: tell us all the bells and whistles you need for the perfect website.

12. What design elements, colors & images do you prefer?Please list any specific colors or design layouts you prefer for your new site. Also, if there are colors or design layouts you do not like, list these as well.

13. List three websites you like, preferably in different industries and include dot points what you do and don’t like for eachPlease include the URL then under the URL, list the things you like and dislike.

14. Please list the page names, content types, and number that your website will need.*Examples: home, about, start here, blog, contact, resources, custom post type, FAQs, membership application, testimonials, etc.

15. What kind of contact forms will your website require?*Examples: contact form, application, email signup forms, etc. Please describe in detail.
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The Final Questions

You’ve mate it! Just a few more questionable to finalize your request.

16. Do you have any concerns or worries?*

17. To call your website a success, what would need to happen?*

18. What is your budget for this project?*Please Select$2,000 – $2,999$3,000 – $6,999$7,000 – $14,999> $15,000What is the realistic budget based on all the features you’re requesting?19. What is your timeframe / launch date?*Please SelectOne MonthTwo MonthsI have some timeI have a large website
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