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Website Design Input Form
This input form will help us design a site that best reflects you or your small business.
What you answer here will be used to create your custom website and help us to identify your specific project requirements.
This form is the first step in the design process. Please fill in as much as possible.
If you have any questions, please feel free to call during normal business hours.
Thank you in advance. :-)
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* Indicates required question
Your first and last name.
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Your answer
Your email address (We'll send the sample website here)
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Your answer
Phone number
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Your answer
Fax number
Your answer
Toll free number
Your answer
Name of the business you want featured on your website.
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Your answer
In short, what this project / website is about?
Your answer
What is your current or future website address?
Your answer
How soon do you need the new website completed?
Your answer
Approximately how many pages or sections will your website have?
Your answer
Do you already have a logo or branded materials such as business cards, stationary?
Yes
No
Clear selection
How important is Search Engine Optimization for your website?
1
2
3
4
5
Clear selection
Do you need hosting and email?
Yes
No
Unsure
Clear selection
With whom do you currently host your website?
Your answer
Will the existing website content be used?
Yes
No
Clear selection
The importance of first impression is paramount. How should visitors describe your new site?(Examples: modern, user friendly, bold, corporate, fun, forward thinking, innovative, bright, calming, elegant, clean, minimal, etc.)
Your answer
Who is your target audience?(Examples: age, industry, gender, income, geographical area, etc.)
Your answer
What kinds of images best reflect your business?(Examples: business images, product images, industry, nature, etc.)
Your answer
Do you have a color scheme? If not, what is your color preference? Do you have color codes?
Your answer
Do you need a Content Management System (CMS) to be able to maintain and add content to your website without (or with little) external help?
Yes
No
Not Sure
Clear selection
Besides page editing and latest news feature, name other specific requirements of the CMS.(Examples: blog, calendar, search functionality, quote form, etc.)
Your answer
Do you need E-Commerce?
Yes
No
Clear selection
Please list your competitors' websites. What do you like and not like about their websites?
Your answer
Are there any particular websites that you like? Why?(Examples: page elements like headers, menus, sidebars, colors, typography, photos, etc.)
Your answer
Additional comments
Your answer
What kind of website do you want to create? What type of business are you in ? (Online Store, Portfolio, Blog, Consultant, Tech Company, Etc.)
Your answer
What do you need on your new website?
Chat / Chat with site visitors from desktop or mobile.
Online Store / Sell your products online.
Forum / Start discussions and build community.
Subscribe Form / Let visitors sign up for your mailing list.
Online Programs / Create and sell step-by-step training programs.
Groups / Create communities for your site members.
Blog / Write posts to drive traffic and share your ideas.
Bookings / Let clients book private & group sessions on your site.
Pricing Plans / Sell subscriptions & memberships.
Table Reservations / Let diners book a table on your site.
Restaurant Menus / Create and display your menu online.
Food Orders / Take orders on your site for pickup or delivery.
Instagram Feed / Display your pics & videos from Instagram.
Music / Stream and sell your music commission free.
Bands In Town / List all your upcoming live events.
Video / Share, stream and sell your videos.
Events / Create events, sell tickets & track RSVPs.
What is the name of your current business ?
Your answer
What is the URL of your existing website?
Your answer
Do you have a Google Places account?
Yes
No
Clear selection
Do you have a logo?
Yes
No
Clear selection
Please enter your social media addresses below.
Your answer
Anything else we should know?
Your answer
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