1) Website Design Questionnaire

1
Full Name* This field is required.
First Name
Last Name
2
Your 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
3
Phone Number* This field is required.
Area Code
Phone Number
4
E-mail* This field is required.
example@example.com
5
Say Cheese! Upload your favourite selfie or headshot :)This is for your 'About' section on your new website. Putting a face to your business is one of the easiest ways to win more business.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
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6
Business Name:
7
Business AddressMake sure this address, matches exactly your Google My Business 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
Business Phone Number
Area Code
Phone Number
9
Business Email
example@example.com
10
How long have you been in business?
11
Does your company have a logo? If so, please attach below:
Drag and drop files here
Select files to upload
Max. file size: 10.0MB
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12
How many employees does your business have?
13
When is your goal launch date for your website?
Date
Month
Day
Year
14
Do you or your company have any licenses, memberships, accreditations, affiliations or media/influencer mentions that you'd like to highlight on your website?
15
Who is your target audience/customer? (Age, gender, interests)
16
What would you like your domain name to be? If you already have a domain, please state it here and tell us who it is registered with.
17
Will you be hosting with us? If you are NOT hosting your site with us, what is the URL of the hosting company? (E.g. http://www.godaddy.com)
18
If you currently have a website, why are you designing/upgrading? What would you like to see/change/improve?
19
Do you plan to maintain and update your site yourself?
Yes
No
Unsure
20
Will you require training to update your website?
Yes
No
21
What is the purpose of your website? Check all that apply:
E-COMMERCE/ONLINE SALES
IMPROVE CUSTOMER SERVICE
PROVIDE INFORMATION ON PRODUCTS & SERVICES
BROADEN YOUR CUSTOMER BASE
SUPPLEMENT YOUR CUSTOMER BASE
KEEP IN CONTACT WITH CURRENT CUSTOMERS
IMPROVE SITE DESIGN & LAYOUT
IMPROVE FUNCTIONALITY & NAVIGATION
OTHER (PLEASE DESCRIBE)
22
What are your brands colour preferences? Please mention 3 colours of your choice and add relevant HEX if possible.
23
Do you have any reference or competitors website that you would like to submit for review for the design process? Please list the website URL's & specific aspects of the site's that you like:Include website likes and dislikes.
Huge
Large
Normal
Small
Ok
Ok
24
When people visit your website, what would you want them to do? Please check all that apply.
HIRE YOU TO
SEEK INFORMATION ABOUT YOUR PRODUCTS OR SERVICES
ORDER A PRODUCT OR SERVICE ONLINE
JOIN YOUR COMPANY
COMPARISON SHOP OR TO BUY A PRODUCT
COMMUNICATE WITH YOU
INFORM YOU ABOUT SOMETHING
TO BE ENTERTAINED
CONNECT WITH OTHERS OF SIMILAR INTERESTS
REGISTER FOR AN ACCOUNT, IF YES, PLEASE DESCRIBE.
VIEW BROCHURE
VIEW A CATALOG
SEEK SOME INFORMATION
25
Upload image(s) below:Please provide as many high-quality images as possible that we can use for your new website.
Drag and drop files here
Select files to upload
Max. file size: 10.0MB
Cancelof
26
Please submit any other information pertaining to your site below.
27
Please select any of the following additional features you would like:
ABOUT US
CONTACT INFO
PERSONNEL BIOS
TESTIMONIALS
FAQ'S
SERVICE/PRODUCT DESCRIPTIONS
EVENT CALENDAR
CLASSIFIEDS
GUESTBOOK
CHAT ROOM
OPINION POLL
SHOPPING CART
LINKS
PHOTO GALLERY
EMAIL CAPTURE AND ADMIN
CONTENT MANAGEMENT
MAILING LIST (ANNOUNCEMENT ONLY) THIS IS WHAT YOU USE TO SEND OUT ANNOUNCEMENT OR EMAIL NEWS LETTERS.
MAILING LIST DISCUSSION GROUP
ONLINE MESSAGE BOARD ON FORUM
CONTACT, SUBSCRIPTION, SURVEY OR FEEDBACK FORMS
PASSWORD PROTECTION FOR CERTAIN PAGES
SITE SEARCH ENGINE
E-CARDS
MUSIC CLIPS LISTEN/DOWNLOAD/UPLOAD
VIDEO CLIPS VIEW/DOWNLOAD/UPLOAD
FILE UPLOAD (TYPE OF FILE)
WEATHER WIDGET
STOCKS WIDGET
NEWS FEED
28
How will you be accepting payment through your website? Please check all that apply.
N/A
TRADITIONAL PROCESSING (CHECKS, MONEY ORDER, ETC)
MANUAL CREDIT CARD PROCESSING (PROCESSED BY THE MERCHANT)
REAL-TIME CREDIT CARD PROCESSING (AUTOMATICALLY PROCESSED ON CHECKOUT)
29
Please select real-time credit card processing options:
N/A
PAYPAL
PAYPAL PRO
PAYPAL SDK
HSBC
MONIERS
ASSURE BUY
GOOGLE CHECK OUT
OTHERS (PLEASE DESCRIBE)
30
Will there be a shipping option on your site? If yes, please select from the following:
N/A
UPS
USPS
FEDEX
OTHERS (PLEASE DESCRIBE)
31
Are there any additional features you wish to add which have not been mentioned above? Please mention here:
32
Rate This Questionnaire
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5
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