Web design Application - Westman Web Design

1
Name* This field is required.
First Name
Last Name
2
Email* This field is required.
example@example.com
3
Phone* This field is required.
Please enter a valid phone number.
4
Business Name
5
What type of website are you looking to create?* This field is required.
Small Business Website ( just a few pages: Home, About, Contacts, etc.)
Personal Website (Portfolio)
Business Website with News or Blogs
E-Commerce Website (sell products or services online)
Online Learning Platform
Other
6
Have you already purchased a domain name?* This field is required.
YESNO
7
What is your domain name?* This field is required.
8
Do you have a domain name in mind?* This field is required.If you would like us to register a domain name for you, please provide a few names that you have in mind.
9
Have you already chosen a hosting provider for your website?* This field is required.
YESNO
10
Who is your hosting provider?* This field is required.
11
Do you have any specific design preferences or requirements for your website?* This field is required.(e.g. color scheme, layout, font choices)
Huge
Large
Normal
Small
Ok
Ok
12
Do you have an existing logo for your brand or organization that you would like to incorporate into your website design?* This field is required.
YESNO
13
Please, upload your Logo
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
14
Are there any specific features or functionality you would like to include on your website?* This field is required.(e.g. contact forms, social media integration, image galleries)
Huge
Large
Normal
Small
Ok
Ok
15
Do you have any existing website content (e.g. text, images) that you would like to use on your new website?* This field is required.If not, would you like assistance in creating or sourcing website content?
Huge
Large
Normal
Small
Ok
Ok
16
What is your timeline for completing the website design process?* This field is required.
17
Are there any other services that you might be interested in?Check all that apply
Search Engine Optimization (SEO)
Local SEO
Google Business Profile Optimization
Social Media Marketing
Google Ads
Email Marketing
Monthly Website Maintenance
Content Creation (Blogs)
Other
18
What is your budget for the website design project?* This field is required.
$1000 - $2000
$2000 - $3000
$3000 - $5000
$5000 - $10000
Over $10000
Other
19
Is there anything else we should know about your website design project?
Huge
Large
Normal
Small
Ok
Ok
Should be Empty: