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Your Name*
First Last
Your Company Name
Please describe your organization in a sentence or two.*
Briefly describe the service or product your company offers and how it's different from your competitors.*
Your role in this business?*
(like owner, salesperson, marketing director)
Your role in this project.*
Are you the point person? The initiator? The decision maker? All of the above?
Email*
Enter Email Confirm Email
Phone*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Current Website
Do you currently have a website you'll be revising or replacing?*
- Yes
- No
- Sorta
If yes, or sorta, the website's URL
This is the http://www.myurl.com that you use to access your website.
What about your old website would you like to change?
With whom do you host your current website?
If you have one.
Will you be using content from your current site?
- Yes
- No
Your Project
Briefly describe what this project is about.*
What is your budget for this project?*

Please list the main pages for your site*

Your competitors

Please list 4 of your competitors, their website URL, what you like about their site (a few words), and what you don't like about their site (again, a few words). To add a new line, click the + to the right side.

Competitor name	Competitors website URL	I like...	I don't like...

Describe your target market or audience for this website?
Who will be its main users? Think about age, gender, income, education, where they live, the kinds of jobs they have, what they do in their spare time and other factors that will influence whether they're interested in your product or service. Feel free to name them and personalize them.
What's your timeline for the completed site?
Keeping in mind that a site requires content and if the content needs to be created or edited that will exert some control on the timeline.
- Yesterday (of course, you realize that's not possible)
- ASAP
- Within a month
- 1-2 months
- 3-4 months
- No hurry.
Style, content and function
Do you have a logo?
- Yes
- No
If you have ideas about the colors, style and feel of your new website, this is where to describe them.
What kind of content will you need?
Will you need text, logo, images, graphics, animation, video? Be specific if you'd like. Please note whether it's available already or whether you'll need assistance with it.
Functionality
This is what you need the site to do.
- Feature information about your products/services
- Advertise and/or sell your products/services
- Reflect your vision and purpose
- Create a presence for our company on the internet
- Allow readers to sign up for an email newsletter
- Feature video and animation
- Allow readers to comment or to create content
- Allow readers to communicate with each other
- Allow readers to download material like ebooks, pdfs or software
- Include a blog
- Include a call-to-action page
- Include a shopping cart
- Calendar
- Search functionality
- Quote form
Hosting and Maintenance
Do you need hosting and email?
- Yes
- No
Do you need site maintenance?
This includes software updates, security monitoring, backups, and site availability monitoring.
- Yes
- No
What did we miss?
What other information do you think might be helpful?
Name
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Current Website

Your Project

Style, content and function

Hosting and Maintenance