PixelPerfect Websites - Basic Package - Website Design Request Form

1
Your name* This field is required.
First Name
Last Name
2
Your email* This field is required.This will be the primary source of contact.
3
Phone number* This field is required.
Country Code
Area Code
Phone Number
4
Can this phone number receive texts?You are not opting into receiving any marketing messages. This is solely for project communication only.
YESNO
5
What is the name of the Project or Organization?* This field is required.
6
What is the tagline, catchphrase, or slogan?
7
In short, what is this project about?* This field is required.
8
How soon do you need the new website completed?* This field is required.Typical development times for Basic Package are 7 business days. *We can do rush development for an additional fee.
9
Approximately how many subpages will your website have?* This field is required.Basic Package is Max 4 pages not including the custom homepage. *If you need more pages there will be an additional cost.
10
Do you already have a logo and content?* This field is required.The logo is used to help establish the look and color scheme of the website. The content could be images, photos, and text for the different pages of the website.
Yes, I have both and will provide both.
I have a logo, but need help generating the website content. *additional cost
I need help with creating a logo, I will create my own website content. *additional cost
I need help with creating a logo and generating the website content. *additional cost
11
How important is Search Engine Optimization for your website?
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Please Select
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Not Important
Somewhat Important
Important
Very Important
12
Do you have a domain and WordPress host?* This field is required.We do not offer domain registration or hosting. We design and develop your WordPress website. We can help you get setup with these if needed.
Yes
No
I need assistance with this.
13
Where is the domain registered and who is the WordPress host?* This field is required.
Domain Registrar
Domain Name
Host Provider
14
What is your estimated budget?* This field is required.Sharing a realistic assessment of what you plan to spend on this project will help us scope the engagement appropriately.
Please Select
Please Select
Less than $1,000
$1,000 - 2,000
$2,000 - 3,000
$3,000 - 5,000
$5,000 +
15
Is this a website redesign?* This field is required.
YESNO
16
What is your current website address?
17
Where is the domain registered?
18
With whom do you currently host your website?
19
Will the existing website content be used?
20
Add the type/title of subpages you need.Add up to 4 subpages for Basic Package. Keep blank if not needed.
1
2
3
4
21
The importance of first impression is paramount. How should visitors describe your new site?Ex. modern, bold, corporate, fun, professional, calming, elegant, clean, minimal, etc.
22
What sort of theme do you have in mind?Ex. cyberpunk, future, animals, retro, etc.
23
What kinds of images best reflect your business?Ex. business images, product images, industry, nature, etc.
24
Do you have a color scheme? If not, what is your color preference?For specific colors please use color codes. ex. #4ebee9
25
Besides page editing and latest news feature, name other specific requirements of the CMS. (Examples: blog, calendar, search functionality, quote form, etc.)
26
Do you need E-Commerce?
Yes
No
27
Please list your competitors' websites. What do you like and not like about their websites?
28
Are there any particular websites that you like? Why?Ex. page elements like headers, menus, sidebars, colors, typography, photos, etc.
29
Additional commentsAnything else you think would help us nail down the design of your website?
30
Please upload your logo and a few content samples if you have them.Please add any design ideas here as well.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
31
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