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1
What is your Email Address?
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example@example.com
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2
What is your name?
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First Name
Last Name
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3
What is your company's name?
Company Name
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4
What would you like to build with us?
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Informational Website
eCommerce Website
Subscription Website
Application
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5
Do you have an existing site?
YES
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6
Current Website URL
Please input your Website URL
www.example.com
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7
What do you want included on the home page?
Slideshow
Video
Description
Contact Form
Other
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8
What general pages do you want?
Services
About Us
Conact Us
FAQ's
Other
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9
Do you want any additional functionality?
YES
NO
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10
What additional functionality do you need?
Calendar
Events
Schedule
Site Search
Gallery Page
News Page
Blog
Other
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11
Do you need to collect email addresses?
YES
NO
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12
What pages do you need to collect email addresses on?
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13
Do you have an existing eCommerce site?
YES
NO
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14
Current eCommerce Website URL
Please input your Website URL
www.example.com
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15
What are you selling?
Physical Goods
Physical Services
Digital Goods
Digital Services
Other
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16
Please describe what the eCommerce site will offer
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17
Are you interested in specific platform?
Shopify
WooCommerce
Other
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18
How many different types of products are they selling?
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19
Where are your customers located?
Local
Regional
National
International
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20
Do you have an existing Subscription site?
YES
NO
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21
Current Subscription Website URL
Please input your Website URL
www.example.com
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22
What are your customers subscribing to?
Physical Goods
Physical Services
Digital Goods
Digital Services
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23
Please describe what the subscription site will offer
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24
How frequently will customers subscribe?
Weekly
Monthly
Quarterly
Annually
Other
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25
What does the app do?
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26
Who are the users of the app?
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27
Are there multiple user types for the app?
YES
NO
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28
What are the different user types for the App?
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29
What Operating Systems will the app be on?
iOS
Android
Web Based
Other
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30
What screens will be needed?
Intro Screen
Walkthrough Screen
Profile Screen
Content Feed
Other
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31
Will any additional functionality be needed for the app?
YES
NO
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32
Briefly describe any additional core functionality needed.
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33
Would you like a phone call to discuss your project further?
YES
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34
Phone Number
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Please enter a valid phone number.
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35
When would be a good time for us to give you a call about your project?
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