WEB DESIGN QUESTIONNAIRE Please fill out the fields that apply. Website Requirements Form Step 1 of 6 16% HiddenUser Email: Business Name Do you have a business slogan or tagline? Your Email Address Your Phone #Business Address, if applicable Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country 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 Design PreferencesCurrent website URL, if applicable Where did you reserve your URL? Ex - GoDaddy, Google Domains, etc.Current Website Site Login, if any.Login URLUsernamePasswordDo you have preferred color concepts or should we choose for you? Please share a website design you like What do you like about that site design?If you'd like, please share a second website design you like What do you like about that site design? Media and CopyLink to images of you and your business: Dropbox, google drive, etc. Upload business images (logo, establishment, customers, etc.), if any Drop files here or Select files Accepted file types: jpg, png, pdf, Max. file size: 5 MB, Max. files: 10. List of pages you want on your new site. Add RemoveExample - (home, about us, contact us, services, galleries, etc)Upload copy (text) you want on the pages you just listed if you have any. Drop files here or Select files Max. file size: 256 MB, Max. files: 10. Do you want blog feature on your site?(Required) Yes No Products/Services InfoList of Products/Services You Want Listed On Your SiteNameShort DescriptionPrice Add RemoveDo you want to sell products from your website?(Required) Yes No In other words, do you want an e-commerce site?If you offer services, do you want to take appointments online on your website?(Required) Yes No Not sure For instance, do you want to use your website as a tool for scheduling all appointments and show availability online?Products Info File/PDF, if any.Max. file size: 256 MB. MarketingWhat are your primary goals for this website?(Required)Ex - "inform people of our services" • "attract potential customers" • "get people to call us" • "get people to sign up" • "get people to donate to our cause"What call-to-actions (CTA) do you most want visitors to take?Ex - (call, email, sign up, visit)Do you currently use a newsletter platform or email service such as Mailchimp or Constant Contact?(Required)If yes, which service do you use? If no, do you want to set one up?Will you or one of your staff want to edit pages or manage the site?(Required) Yes No If you'd like to edit and manage the site, what's your technical skill level? I'm advanced and can learn very quickly I'm capable but would need some clear direction I don't know too much about computers and would need a lot of direction I should not be allowed around computers 😉 SEO - What search phrase (s) would you like to rank highly for on Google?(Required) Any other comments/suggestions about your site?
