Website Design Questionnaire
Let's get to know you and your business!
Name
First Name
Last Name
E-mail
example@example.com
Phone Number
How did you hear about us?
Facebook
Google
Instagram
Referred by ___________
Other
Business Name
Business Billing Address
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Business Physical Address
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Business Phone Number
Business Email
example@example.com
Business Hours (Monday - Sunday)
How old is your organization?
What is your mission statement/slogan?
Briefly describe the heart behind your organization or give us WHAT, HOW and WHY as best you can.
Is there a unique story behind your organization or organization name?
What are the long-term goals of your company?
Write a description of your site, or a short bio that will tell people what your site does.
Which social media accounts do you want linked to your website?
Twitter
Facebook
Instagram
Pinterest
LinkedIn
Link to the Twitter account:
Link to the Facebook account:
Link to the Instagram account:
Link to the Pinterest account:
Link to the LinkedIn account:
How many pages are you wanting us to design for your website?
Please upload images if you want us to use
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Are there any colors that you prefer? Any colors you don't want? Need some help? Check out: http://colourlovers.com
Do you have any symbols you associate with your product or company? Objects, animals or shapes?
Please copy and paste three websites you like and explain why you like them.
You can choose one specifically for functionality, design or even verbaige.
Website Number One
Why did you pick website number one?
Website Number Two
Why did you pick website number two?
Website Number Three
Why did you pick website number three?
What are the names of the pages you would like us to design?
Please select a few adjectives that you want your site to convey.
Playful
Corporate
Formal
Casual
Simple
Hi-tech
Homemade
Organic
Subdued
Bright
Raw
Refined
Rugged
Newsy
Loud
Quiet
Minimal
Illustrative
Traditional
Edgy
Clean
Additional Comments
Submit
Should be Empty: