Your website.

1
Business Name:* This field is required.
2
Main Business Number:
Area Code
Phone Number
3
Business Address Location(s)
4
Business contact email address
example@example.com
5
Business EIN
6
Billing Name
First Name
Last Name
7
Billing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
8
Billing Phone Number
Area Code
Phone Number
9
Billing contact email address
example@example.com
10
Please list your main Categories and Products/Services Under Each Category* This field is required.
11
Total Service Area or Area Reach
12
Do you have special licensing, skills, awards or recognition?
13
History of your business. Does your company have a special or unique history we should know about?
14
Value Proposition. What makes your business unique or special. Or what do customers regularly compliment you on?
15
Audience. Describe your typical audience or customer base (age, range, gender, geographical areas, single vs family, and so on)
16
Company Persona. If your business had a personality what would it be?
17
Name your top 3 competitors
18
What would you like your website to do for the visitor?* This field is required.
Clients to understand exactly who we are, what we do and how we do it
Clients to call
Clients to fill out an information form
Clients to request an estimate
Clients to book services
Clients to pay their bills
Clients to view specials or events
Clients to login to their account
Clients can self support when they have questions
Clients to be able to chat with us
Clients to make product or service choices
Build Value
Build Authority, Credibility and Trust
Build excitement about our business
Attract Employees
Showcase special offers
Other
19
Page Ideas Check All That Apply* This field is required.
People who enjoy our products and services: Markets or Segments
Problems You Solve: Conditions
Tools You Use To Solve The Problem: Products, Materials
What is Unique About Your Solution: technology, brands, Equipment, Case Studies
Your process - what a client should expect
Your company: History, Team, Events, Information, Careers
Locations
How to get started: Intake, Schedule, Referral, Etc
Your promise: Policies, Guarantees, Service Plans, Returns, Testimonials
Support, FAQ, Chat, Call, Self Serve
Media: Social, Blog, Videos, Instructions
Other
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Specifics on those pages* This field is required.
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Choose all that you want* This field is required.
Appointment/Service Scheduling
Blogs/RSS
Chat Feature
Click To Call
Client Portal
Event Bookings
Event Calendar
Frequently Asked Questions
Leave A Review
Patient Intake Forms
Patient Portal
Pay Online
Photo Galleries
Request An Estimate
Secure Zones/Membership Areas
Service Request Form
Slideshow
Social Media Integration
Virtual Catalog
Virtual Galleries
Web Forms (Other)
Other
22
Choose all add-on's that you want* This field is required.
HIPAA Compliance
Quickbooks Integration
Square Integration
Jotform Integration
Constant Contact Integration
Shopify Integration
Zoom Integration
MailChimp Integration
TransUnion Pre-Employment Background Check Integration
Indeed Integration
Other
23
Describe any other functionality you would like your website to have not already listed:* This field is required.
24
How would you like your business to feel? (check all that apply)
Transparent
Welcoming
Nuturing
Happy
Casual
Innovative
Fun
Relaxed
Empathetic
Engaging
Respectful
Competent
Sincere
Sophisticated
Strong
Tough
Outdoorsy
Athletic
Clinical
Carefree
Youthful
Prestigious
Elegant
Thoughtful
Kind
25
Do you have specific colors that should be used? Please list any specific values (CMYK / RBG / Pantone):* This field is required.
26
Are there any colors that should be avoided?* This field is required.
27
Please list two websites that you like and would like to use as inspiration for your own. Describe what you like about them.* This field is required.
28
Please Upload Logo, Image or Content Files
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
29
Do you have a domain name?
No
Yes
30
If YES, what is the domain name?
example www.website.com
31
Note: I will need the username and password you use to access your domain management account.
32
If NO, do you have an idea of what you would like it to be?
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If your desired domain name is not available, I will assist you in finding one that is appropriate.
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Any add-ons you would like?
Professional Logo design or redesign for your brand.
First Page Placement in top Keywords - SEO
Targeted Guaranteed Leads - Thryv Leads
Paid Placement Driving Traffic To The Site
Social Media Posting
Text and Email Marketing
Blog
35
One last thing you need me to know.
36
ALL DONE!
Should be Empty: