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Website Design/Consultation Request Form
Just a few questions will really help us understand your needs better.
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1
NAME
*
This field is required.
First Name
Last Name
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2
EMAIL
*
This field is required.
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3
PHONE NUMBER
*
This field is required.
Area Code
Phone Number
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4
COMPANY
The name of your business or website
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5
TYPE OF BUSINESS
Select from the options or choose 'other'
Retail
Education/Training/Coaching
Technology
Food
Beauty
Finance
Home Services
Other
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6
IF 'OTHER' LIST YOUR BUSINESS INDUSTRY/VERTICAL
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7
DO YOU CURRENTLY HAVE A LIVE WEBSITE?
*
This field is required.
YES
NO
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8
WEBSITE ADDRESS
What is your domain name?
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9
WHAT TYPE OF WEBSITE DO YOU REQUIRE?
*
This field is required.
Ecommerce (Take Payment Online)
Educational
General (Standard)
Personal
Landing Page/Squeeze Page
I don't Know Yet
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10
HOW MANY PRODUCTS WILL YOU HAVE ON YOUR SITE?
This is just to give us an idea at this stage
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11
WOULD YOU LIKE TO SELL YOUR TRAINING/EDUCATION ONLINE?
*
This field is required.
YES
NO
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12
HOW MANY COURSES/MODULES DO YOU HAVE?
This is just to give us an idea at this stage
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13
DO YOU KNOW WHAT PAGES YOU WOULD LIKE ON YOUR SITE?
*
This field is required.
YES
NO
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14
CHOOSE SOME PAGES FROM THE LIST
Select 'Other/more' to add more pages
Home
About
Services
Products/Shop
Contact
FAQ
Blog
Gallery
Other/more
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15
MORE ITEMS
List additional pages here
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16
DO/WILL YOU REQUIRE HOSTING?
*
This field is required.
Webs Hosting and/or Domain Hosting
YES
NO
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17
ADDITIONAL SERVICES
Are there some other items we can help you out with?
Brand/Logo Design
Content Creation
Search Engine Optimization (better search position)
Google Ad Campaign Set-Up
Email Set Up
Google Analytics Set Up
Social Media Content Creation
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18
ADDITIONAL COMMENTS
Tell us about your business needs and/or ideas you have at this stage.
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19
Select Your Preference for Meeting
*
This field is required.
Online Meeting (Using Google Meets)
Quick Phone Call (Usually will require second meeting)
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20
Quick Phone Call
*
This field is required.
** NOTE** Phone call meetings will typically require a more in depth follow up meeting to gather more information and explore materials online to better understand the scope of work.
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21
Google Meets Meeting
*
This field is required.
All meetings are conducted via Google Meets
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