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Contact
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Name
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First
Last
Email
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Phone
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Business Name
Website URL
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Brief Business Description
Primary Business Goals
Primary Website Purpose
What do you want your website to do if a visitor is viewing your website?
Main Competitors
Please provide their website URLs if possible
Required Website Timeline
Website Goals
Please describe the goal/goals of your website.
Target Audience
Describe the target audience you think and or wish to have for your business.
Age Demographic
20-30
30-50
60-80
Please check the age demographic you are targeting.
List your company's strengths:
Please list the strengths and advantages of you company.
List your company's weaknesses:
Please list the weakness or items you would like to improve in your company.
Visual Style Preference
Minimal
Bold
Traditional
Modern
Website Examples
Please list 3-5 websites you like and explain what appeals to you about them
Do you have brand guidelines?
Yes
No
Required Features
Contact form
Newsletter signup
Blog/news section
E-commerce capabilities
Social media integration
User accounts/login
Search functionality
Calendar/booking system
Additional Features not listed above
Please list or describe any other feature you would like to have on your website.
Do you need hosting services?
Yes
No
Do you have a domain name?
Yes
No
Will you need ongoing maintenance?
Yes
No
What have you done to market your business most recently?
List of potential marketing channels
Google SEO
Google Ads
Facebook Ads
Email Campaigns
Trade Ads
Email Lists
Promotions/Incentives
Website Subscription
Direct Mail
Signage
Please check the channels you would wish to use.
Desired Timeline
Budget Range
Under $3,000
$3,000 - $5,000
$5,000 - $10,000
$10,000+
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