Name

Email Address

Phone Number

Your business name

Where did you hear about us? Where did you hear about us?ReferralWeb searchSocial media (Facebook, etc)

Referred by

Which social media accounts does your business have? Which social media accounts does your business have? Facebook Twitter Instagram LinkedIn YouTube Other

Do you have a logo? Do you have a logo? Yes No

Twitter page address?

Who are your main competitors?

Facebook page address?

Instagram page address?

LinkedIn page address?

YouTube page address?

Which other social media?

Do you have a website now? Do you have a website now? Yes No

Your current website address

What do you like about your current website?

If you already have a domain name for your new website? (www.MyBusiness.com) what is it?

What do you dislike about your current website?

What pages would you like on your new site? (for example: About Us, Our Products/Services, Contact Us, Current Specials)

If you DON'T already have a domain name, which one would you like?

How do your want to be perceived? (serious, fun, professional, etc)

What one thing should a visitor to your site should do? (call you, email you, buy something, etc)

Any other thing you'd like website visitors to do? (book an appointment, subscribe to a newsletter, etc)

Do you have your web content ready? (text, photos, logo, graphics) Do you have your web content ready? (text, photos, logo, graphics) Yes, take it from my existing website Yes, it’s in documents ready to go Nope, but I will be able to provide it Nope, and I need help with it

What is your budget range for this project? What is your budget range for this project? $500 to $1000 $1000 to $3000 $3000 to $5000 $5000 to $10000

Any other details/features to include? (what’s your vision, what do you want the site to do? Let loose here!)

Do you have any concerns or worries? (don’t hold back--we want to know it all so we can make this a great experience)

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