Client Questionnaire

We’re excited that you’re considering us for your next project. There’s some information and data we’ll need from you to get things going as well as prep our team with. Please take a few minutes to fill out the form below and if you have any questions, we can follow up with you during our next scheduled meeting. 

"*" 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 SaharaYemenZambiaZimbabweÅland Islands Country

Phone

Email

Name of your Business*

Website URL

If you already have an existing website, please copy and paste the URL here

What is your preferred method of contact?*

BUSINESS PROFILE SECTION

Tell us a little about your history and how you come to this product or service idea

Tell us about the vision or main goal of this project

How 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 media

What 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 INFORMATION

Do you already have a logo?*

YesNo, but I will need one

Upload Your Logo

Accepted 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.*

How many pages will your website need?

1-5 Pages6-10 Pages10 or more pages

Think of your page names; Home, About, Products, Contact, etc

Do you have content ready for the number of pages you will need for your website?*

This would be the text for each of your pages

List the Page Names

How often would you need to make content or graphic changes to your website?*

Are 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

Are you interested in creating blog/vlog content?

I am and would like to with this project

I am curious about ways to create content in this way

Not at this time

TECHNICAL & BILLING INFORMATION

Our base website price starts at $2,000*

Yes this is within my budgetI'm not prepared for a project at this scale right now

Will this be within your budget?

Do you currently have a registered domain name?

If so please enter the domain name(s) we'll be using for this project:

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.

Save and Continue Later

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