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86
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1
Name
First Name
Last Name
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2
Business Name
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3
Email Address
example@example.com
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4
Best Phone Number
Area Code
Phone Number
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5
ABN / ACN Number
If in Australia and you would like this to be displayed on your new website
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6
Head Office Business Address
This would be your Head Office
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Afghanistan
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Denmark
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Lesotho
Liberia
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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
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
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7
If you have other locations please list all locations
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8
Business Sector/Category
Any Category
Accounting
Administration
Advert / Media / Entertainment
Banking & Financial Services
Call Centre / CustomerService
Community & Sport
Construction
Consulting & Corporate Strate
Education / Childcare
Engineering
Executive
Government & Defence
Health & Medical
Hospitality, Travel & Tourism
HR / Recruitment
I.T. & Communications
Insurance & Superannuation
Legal
Manufacturing Operations
Mining / Oil / Gas
Primary Industry
Real Estate & Property
Retail & Consumer Products
Sales & Technology
Self Employment
Trades & Services
Transport & Logistics
Volunteer, Charity & Social
Any Category
Accounting
Administration
Advert / Media / Entertainment
Banking & Financial Services
Call Centre / CustomerService
Community & Sport
Construction
Consulting & Corporate Strate
Education / Childcare
Engineering
Executive
Government & Defence
Health & Medical
Hospitality, Travel & Tourism
HR / Recruitment
I.T. & Communications
Insurance & Superannuation
Legal
Manufacturing Operations
Mining / Oil / Gas
Primary Industry
Real Estate & Property
Retail & Consumer Products
Sales & Technology
Self Employment
Trades & Services
Transport & Logistics
Volunteer, Charity & Social
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9
Business Tagline
Your company's slogan
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10
Do you have a registered domain name
Yes
No
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11
Do you have a current Website
Yes
No
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12
What is your Website URL
If you have an existing website
www.yourdomain.com.au
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13
Do you want our assistance to add SSL enabled on your website? Eg https:
Any site deemed ‘insecure’ will display “NOT SECURE” on Google Chrome browsers Any site that does not conform to Google’s guidelines will be flagged as insecure and this will affect your SEO and search rankings. Costs will vary Please read Google guidelines here https://support.google.com/webmasters/answer/6073543?hl=en
Yes
No
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14
Website Access (Login URL)
If applicable
(If there is any)
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15
Website Access (Username)
If applicable
(If there is any)
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16
Website Access (user-pass)
If applicable
(If there is any)
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17
Do you require website hosting?
If applicable
Yes
No
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18
Do you have a Logo
Yes
No
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19
Upload Logo
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
Browse Files
If you have a Logo please upload this hereCHOOSE A FILE
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20
Logo Design Colours in #Hex
Colour Preferences (Primary, secondary,tertiary) For Inspiration please visit https://color.adobe.com/explore/most-used/?time=all
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21
Would you like a new Logo?
Logos Cost $200
Yes
No
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22
Logo Font Style Preference
For Inspiration please visit https://fonts.google.com/
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23
Text required within the logo
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24
Tagline or motto required within the logo
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25
Link(s) to sample logo designs you like
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26
Do you have a preferred platform?
We can work with most
Shopify
Wordpress
SquareSpace
Other
WebDesignApp
Wix
Weebly
Weblium
Other
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27
Do you have a theme you like?
If applicable for Wordpress or Shopify
Yes
No
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28
Please include the theme link here
If applicable
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29
If you are having a custom designed website please share your preferences and style
Links to sites you like
What style is closest to the look you want for your website
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30
Background Image
Link to a Background Image you like
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31
Website Design Colours in #Hex
Colour Preferences (Primary, secondary,tertiary) For Inspiration Visit https://color.adobe.com/explore/most-used/?time=all
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32
Website Font Style Preference
For Inspiration Visit https://fonts.google.com/
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33
Link(s)to websites you like the style of
Show us what you like the look of?
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34
What do you like about this/these website(s)
Please be specific
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35
No. of Pages for your website
5 pages are included Free as per quote
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36
Have you outlined and mapped out your site map?
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
Browse Files
Please upload here a rough outline
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37
What is your Google Analytics Code?
Also please add hello@yourdigitalagency.com.au as ADMIN to your Google Analytics
Will start with a UA number
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38
Do you have all of your website content ready to go?
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
Browse Files
Please upload here or via the Client Portal
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39
Homepage Title
Add your home page title
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40
Homepage Content
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
Browse Files
Upload your content here
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41
2nd Page Title
Add your home page title
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42
2nd Page Content
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
Browse Files
Upload your content here
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43
3rd Page Title
Add your home page title
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44
3rd Page Content
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
Browse Files
Upload your content here
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45
4th Page Title
Add your home page title
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46
4th Page Content
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
Browse Files
Upload your content here
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47
5th Page Title
Add your home page title
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48
5th Page Content
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
Browse Files
Upload your content here
Cancel
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49
Do you require a Blog ?
Blogs are great for SEO?
Yes
No
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50
If you have a Blog installed, would you like us to help with Copywriting?
We can assist with monthly retainer packages? Would you like a quote?
Yes
No
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51
Do you have any videos you would like on the website?
Add video links here
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52
Extra Web Pages?
$100 Each - Please list page names and be specific
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53
Do you require E-Commerce Functionality
Extra charge, would you like a quote?
Yes
No
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54
If you require E-Commerce Functionality
How many products do you have?
How many products or services do you have
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55
If you require E-Commerce, do you require us to upload all of your Products & Services?
$1 per entry
Yes
No
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56
If you require E-Commerce who is your Payment Provider?
Stripe
Paypal
BrainTree
Other
Stripe
Paypal
BrainTree
Other
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57
Do you have high quality photography and stock images of your Products & Services?
We can assist with the purchasing of Stock Images ($5 per image)
Yes
No
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58
Do you need assistance with connecting with a Photographer?
We can assist with an introduction to Photographers in your local area
Yes
No
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59
Do you require a Contact Us Form
Yes
No
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60
Where should the Contact Us Form be located
Send Us An Enquiry on Home Page or Contact Us Page
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61
Email Address for Form Submissions
example@example.com
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62
Form Fields names for Form Submissions
Separate fields with comma eg, First Name, Last Name, Phone, Address etc
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63
What call to action do you need on the Home Page
Click to Call
Book Now
Find Us
Order Online
Link to current page
Special
Click to Call
Book Now
Find Us
Order Online
Link to current page
Special
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64
Click to call (Call To Action)
Fill in details for the above chosen call-to-action
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65
Book Now (Call To Action)
Email address or link to a page
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66
Find Us (Call To Action) Map(s)
Provide Address/Location if you would like map functionality
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67
Link to current page (Call To Action)
eg. Menu page, Products page,Contact Us page, Online Shop page, etc
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68
Any Other Call To Actions Required?
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69
Facebook Link
For Social Call To Actions
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70
Twitter Link
For Social Call To Actions
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71
Instagram Link
For Social Call To Actions
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72
Pinterest Link
For Social Call To Actions
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73
LinkedIn Link
For Social Call To Actions
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74
YouTube or Vimeo Link
For Social Call To Actions
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75
Other Social Links
For Social Call To Actions
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76
Do you require Live Chat Setup & Integration
Extra cost TBA
Yes
No
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77
Do you require a Calendar Booking System setup & integration
Extra cost TBA
Yes
No
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78
Do you need help with Social Media Management
Would you like a quote?
Yes
No
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79
Are there any third party links to be added on the site?
Yes
No
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80
Third Party Links
If you answer yes on the question above, please specify here.
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81
Basic SEO (This in included free in setup)
Keywords, 8 -10 keywords/phrases separate with comma
Keywords, 8 -10 keywords/phrases separate with comma
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82
Basic SEO (This in included free in setup)
Meta Description. up to 155 characters only
Meta Description. up to 155 characters only
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83
Would like to invest in a 12 Month SEO Program
Price TBA
Yes
No
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84
Do you require Support Outside Scope/Time Blocks?
Purchasing bulk hours is like having a design/development team on demand and at your fingertips, we're here the moment you need us. Would you like a quote?
1 Hour: $100/Hour
5 Hours: $71/Hour
10 Hours: $67/Hour
15 Hours: $49/Hour
20 Hours: $41/Hour
40 Hours: $39/Hour
60 Hours: $35/Hour
1 Hour: $100/Hour
5 Hours: $71/Hour
10 Hours: $67/Hour
15 Hours: $49/Hour
20 Hours: $41/Hour
40 Hours: $39/Hour
60 Hours: $35/Hour
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85
Comments
Have we missed anything?
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86
Where did you hear about us?
Google
Facebook
Twitter
LinkedIn
Pinterest
Instagram
Banner Ad
Media or Press
Affiliate Program
Your Digital Agency
Flat Rate Social Media
Referral from a Friend
Online Advertising
Service Seeking
Digital Quotes
One Flare
Fiverr
Other
Google
Facebook
Twitter
LinkedIn
Pinterest
Instagram
Banner Ad
Media or Press
Affiliate Program
Your Digital Agency
Flat Rate Social Media
Referral from a Friend
Online Advertising
Service Seeking
Digital Quotes
One Flare
Fiverr
Other
For marketing purposes
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