Website Design Info Form

WEBSITE DESIGN INFO FORM

This data-gathering form will assist your company with outlining your website. Your responses will determine how much work needs to be done and will save you time and money by helping to identify specific website requirements. Please fill in as much as possible. Thank you!
CONTACT INFORMATION
Company Name:*
Company Slogan:
If applicable.
Contact Name:*

First NameLast Name
Contact E-mail:*
Contact Phone:*

Area CodePhone Number
Company Description:*
If your company has a logo, please upload it here.
Please select the Social Media Platforms you currently have for your company:*

FaceBookInstagramLinkedInPinterestTikTokTwitterOther
WEBSITE PURPOSE
What is the purpose of your website? Please check all that apply.*

Broaden Your Customer BaseE-Commerce/Online SalesImprove Customer ServiceImprove Functionality & NavigationImprove Site Design & LayoutKeep in Contact with Current CustomersProvide Information on Products & ServicesSupplement Your Customer BaseOther
What is the age of your target audience? Please check all that apply.*

KidsTeensYoung AdultsMiddle-Aged AdultsSeniorsOther
What is the gender of your target audience? Please check all that apply.*

MaleFemaleBoth
What are the interests of your target audience? Please check all that apply.*

Black Lives MatterBooks/ReadingCommunityDanceFilm/MoviesFitnessGardeningGamingMusicNight Life/PartiesPetsPhotographyPoliticsSportsTravelTransportationOther
When people visit your website, what would you like them to do? Please check all that apply:*

Be EntertainedCommunicate with YouConnect with Others of Similar InterestsJoin Your CompanyOrder a Product or Service OnlineRegister for an AccountSeek Information About Your Products, Services or OrganizationOther
WEBSITE DETAILS
What is your estimated budget?*
What is your current or desired website address?*
When is your desired launch date for your website?*
What services are you interested in? Please check all that apply:*

Domain RegistrationE-Commerce/Shopping CartGrammar & Text EditingSEO (Search Engine Optimization)Web HostingWebsite DesignWebsite EnhancementWebsite MaintenanceOther
If interested in E-Commerce, how will you be accepting payments through your website? Please check all that apply:*

Traditional Processing (Checks, Money Order, Etc.)Manual Credit Card Processing (Processed by the Merchant)Real-Time Credit Card Processing (Automatically Processed on Checkout)N/A
Please select real-time credit card processing options of interest:*

ApplePayCa$hAppGoogle Check OutPayPalQuickBooksSquareVenmoOther
If interested in Website Maintenance, how will you maintain your site updates?*
Please select the available shipping option(s) on your site. Please check all that apply:*

UPSUSPSFEDEXAmazonOther
Briefly outline the desired content regarding this page (sitemap):*
Home
Briefly outline the desired content regarding this page (sitemap):*
About Us
Briefly outline the desired content regarding this page (sitemap):*
Shop (If E-Commerce)
Briefly outline the desired content regarding this page (sitemap):*
Contact Us
Briefly outline the desired content regarding this page (sitemap):*
Other
What are your color preferences? (Please pick up to 3):*

BlackBlueGoldGreenPurpleRedTanWhiteYellowOther
ADDITIONAL FEATURES
Do you have any image preferences for your site? If “yes”, please explain.*
Please select any of the following additional features of interest:*

Customer Log-InCustomer ReviewsEvent CalendarF.A.Q.sForms (ex. Contact, Subscription, Survey, Feedback, etc.)Landing/Intro Page (upon site visit)LinksMusic Clips Listen/Download/UploadNews FeedOpinion PollPassword Protection to Specific PagesPersonnel BiosPhoto GalleryPolices and/or ProceduresProduct DescriptionsProduct ReviewsServices DescriptionSite Search EngineTerms & ConditionsVideo Clips View/Download/UploadOther
Please submit any comments regarding your site build or expound on additional features:
Should be Empty:

WEBSITE DESIGN INFO FORM

CONTACT INFORMATION

WEBSITE PURPOSE

WEBSITE DETAILS

ADDITIONAL FEATURES