Website Needs Assessment Survey

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Website Needs Assessment Survey
Contact Information
Full Name

PrefixFirst NameLast Name
Your Title
E-mail
Work Phone

Area CodePhone Number
Cell Phone

Area CodePhone Number
Best Day/Time To Call
How soon would you like to start this project?
Business/Organization Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Industry
How Did You Hear About Our Company?
Needed Services
What Services Do You Need? (Check all that apply)
Project Budget
What is your approx. budget range for this project?
What else would you like us to consider for your project?
Websites
If Re-design, what is your current website address?
Approx. how many pages will your website include? (i.e. Home, About Us, Services, Contact Us)
If you need an eCommerce website, approx. how many products/services will you be selling?
Describe your products/services
What are your goals for the website? (Check all that apply)
Tell us what else you would like your website to do.
Technology Preferences (If known)
Technology required for your site (Select all that apply).
What additional features do you want added to your site? (Select all that apply)
Other (List additional features not isted above, but desired)
Style Information & Preferences
What word/phrase best describes the style you envision? (You may check more than one)
List 1st website you feel has a good design
List 2nd website you feel has a good design
What color palette do you have in mind?
Website Materials
Do you have a digital logo?
If you have a logo, upload it here

Upload a File

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Do you have flyers/brochures, etc?
If you do, upload them here.

Upload a File

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Do you have digital images/photos/videos that you own and would like to use on the website?
Upload them here.

Upload a File

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Do You have FB Account?
Click button to Submit!
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Email Marketing | Social Marketing | SEO & PPC | Postcard Marketing | Text Marketing | Survey Marketing | Event Marketing | Websites | Facebook | Twitter | Ning | Graphics | Print | Logo's | Reputation Management

Website Needs Assessment Survey

Contact Information

Needed Services

Project Budget

Technology Preferences (If known)

Style Information & Preferences

Website Materials