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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
E-mail
*
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3
Phone Number
*
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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
Technology
Food
Beauty
Finance
Home Services
Other
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6
If Other, List You Business Industry/Vertical
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7
Do You Currently Have a Live Website?
*
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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?
*
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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 Want on Your Site?
This is just to give us an idea at this stage
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11
Do you know what pages you would like in your site?
*
This field is required.
YES
NO
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12
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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13
More Items
List additional pages here
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14
Do You Require Hosting?
*
This field is required.
Webs Hosting and/or Domain Hosting
YES
NO
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15
Additional Services
Are there some other items we can help you out with?
Google Ad Campaign Set-Up
SEO (Supercharger)
Email Set Up
Brand/Logo Design
Google Analytics Set Up
Social Media Set up/Branding
Printing
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16
Additional Comments
Tell us about your business needs and/or ideas you have at this stage.
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17
Can you meet in person, by phone or by Zoom to discuss your ideas further?
This would be the best next step to discuss the details, from there we can offer an accurate quote
YES
NO
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18
What would you prefer?
*
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Zoom
Meet in Person
Phone Call
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19
When is a good day & time for our meeting?
*
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20
When is a good day & time for our Zoom meeting?
*
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