Landing Page Questionnaire Thank you for your Landing Page purchase. Let's get started. right away by completing this questionnaire. You can save this form and return to it at any time. "*" indicates required fields Name First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÃ…land Islands Country PhoneEmail Name of your Business*Do you currently have a registered domain name?If so please enter the domain name(s) we'll be using for this project:Website URL If you already have an existing website, please copy and paste the URL hereWhat is your preferred method of contact?*BUSINESS PROFILE SECTIONTell us a little about your history and how you come to this product or service ideaTell us about the vision or main goal of this projectHow does your product or service fill a need?Will you need to sell anything from your website?Tell us about your brand awareness:How well is your brand known already?Tell us about your online approach with social mediaWhat would be the primary reason for people to visit and use your website?Can you name one or two of your competitors?Who will be the decision makers for this project?*What is your target date for the completion and launch?* MM slash DD slash YYYY CONTENT INFORMATIONDo you already have a logo?*YesNo, but I will need oneUpload Your LogoAccepted file types: jpg, jpeg, png, psd, pdf, Max. file size: 50 MB. If you have a logo, please upload a copy of it here for us to review. Do you have a certain style of website you'd like?Please enter an example website that you like Tell us some features about this website that you like. Be as specific as possible.*Do you have content ready for the sections you will need for your landing page?*This would be the text for each part of your landing pageList the Sections you would likeHow often would you need to make content or graphic changes to your website?*Consent* I agree to the below terms and conditions.Terms and Conditions Purchase Deadline All Black Friday Sale purchases must be completed by December 2, 2025. Contract & Payment Deposit or full payment must be received before work begins. A signed contract is required before work begins (please see email from Square for contract details) Submitting this form constitutes acceptance of all contract terms and conditions Questions Contact us before the purchase deadline if you have any questions about contract terms or payment. Last Updated: November 21, 2025Are you interested in creating a Mailing List Yes I already have one I'd like to learn how to optimize my current one I would like to learn how to start one Would you be interested in our White Glove Service? Sounds amazing! I would like to learn more about this Not at this time, but maybe in the near future This includes software updates, backups, security enhancements, search engine submissions, monthly website status reports, and more. Δ
