WEBSITE DESIGN QUESTIONNAIRE
Please take sometime to fill out the quesionnaire and supply us with as much information as you can about the type of customised website that you would like. The more information that we have, the better the Edesign.Graphics team can understand your requirements and needs to designing and building the right website for you and your business.
Name
*
First Name
Last Name
Email
*
Confirmation Email
Phone Number
*
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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
Business Name
*
What type of business are you?
*
What KEY WORDS describe your business? Please clearly list below
*
Do you have a website domain? If not you will need one to publish your site. Please note, that we can supply you with a free subdomain to park your site
*
Yes
No - Can you please register me one
No - I'll find one
What type of Website does your business need?
*
1 page scrolling website page
Ecommerce Store
Basic website with home page, about us page, contact us page
Other - Please explain below
Other website - Please explain
Please list your competition including their website if they have one
*
Is there a particular website that you would like yours to look and feel like? Why? Please supply the domain name
*
What type of CONTACT form do you need to have on your site? Please note, advance forms will occur an extra fee
*
Basic Form - Name, Phone number, address, email, message
Advance form - Please explain below what you would like on your form
Advance Contact Form - Please explain
*
Please tell us what special features you might like on your website. Please note that there may be an extra fee depending on the feature
*
Please attach any files that you may have in relation to helping us design the right customised website for you
Upload a File
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At Edesign.Graphics, we can offer you other services to go with your website. Please have a close look at what we could offer you and your business. We can then put everything together as a Business Design Pack - Saving you time and money in the long run
*
Website Domain Name
Logo Design
Personalised Business Emails
Printing Design Work - Business cards, flyers, brochures
Personal Social Media & Networking Assistant Service - Set-up, security, management
Online Paid Advertising Assistant Service - Google Adwords, Facebook sponsored ads
Animation/video design work
Blog - Set-up & management
Nothing else thanks!
Please feel free to tell us anything else you feel we need to know about your website or about any other Edesign.Graphic service
Please tell us how you heard of us
*
Google
Facebook
Friend/Colleague
Ebay
GumTree
Trade Me NZ
Locanto NZ
Coffee News
Business card
Other - Please explain below
Other - Please explain
Enter the message as it's shown
*
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