Website Client Intake Questionnaire

Please provide the following information so we can customize your new website with your business details.

Your Contact Information

First Name *Contact Name

Last Name *

Contact Email Address *What is your preferred email address?

Contact Phone Number *What is your preferred phone number?

Business information

Business Name *

Street AddressBusiness Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Business Phone *

Hours of Operation:

Website URL (i.e., www.yourwebsitename.com) -- if you already own a domain name.

Do you need us to purchase a domain name for you? *YesNo

If yes, what domain name(s) do you wish us to purchase for you?

Do you have a logo you wish to use on this website? *YesNo

Upload logo file in .jpg and .png format

No file chosen

Logo Image

What products or services do you wish to list on the website?

What geographic areas do you serve? Please list all towns/cities, counties, and zip codes you wish to list on your website.

Do you have any customer testimonials you want to add/showcase on your new website? *YesNo

Upload customer testimonials file in Text or Microsoft Word Format and Photo's in .jpg and .png format

No file chosen

Please Upload or email us the text of each testimonial. Please provide the relevant photos if you have a customer photo to accompany each testimonial.

Do you have any photos/images you wish to add to the website? *YesNo

Upload photos/images file in .jpg and .png format

No file chosen

photos/images

About Us Page Content:

Please Upload or email us the copy/content that you wish to see on the About Us page:

- Company owners/managers bios

- Company history and mission

- Company achievements or awards, etc.

Upload About Us Page Content file in Text or Microsoft Word Format and Photo's in .jpg and .png format

No file chosen

About Us Page Content:

Social Media Links:

Is there any other information you want to include on the website?

Questions? Please direct your questions to:

[email protected]

Website Client Intake Questionnaire

MENU

OUR SERVICES

ADDRESS