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Web Design Questionnaire
Please fill out this questionnaire so we can provide you with a custom proposal.
*
(denotes required field)
First Name:
*
Last Name:
*
E-Mail Address:
*
Phone
*
Type of Site
New Site
Site Redesign
Website Objective
increase brand awareness
generate sales leads
encourage website visitors to come to physical location
reduce customer service overload
Other
Visitor Action When Coming to Site
learn about business or organization
make a purchase
fill out a contact form
enroll as a member
Other
Reason for Website Redesign
current site is outdated
updated business model
under new ownership
expanded services or client base
Other
Your Organization
Number of Employees:
choose
0
1 to 5
6 to 10
11 to 20
20+
Number of Locations:
choose
1
2 to 5
6 to 10
11+
Business Type:
choose
Retail
Professional
Skilled Trade
Healthcare
Not-for-Profit
Government
Educational
Entertainment
Membership Organization
Other
If "Other," please describe:
Project Timetable
immediately
1 month
2 to 3 months
3 to 6 months
this year
undecided
Budget
$2,000 to $3,000
$3,000 to $5,000
$5,000 to $7,000
$7,000 to $10,000
$10,000+
Additional Project Information
Current URL
(if applicable)
CAPTCHA Code:
*