NEW CLIENT QUESTIONNAIRE
Please fill out the information to the best of your ability
* Required
Full Name
*
First and last name
Your answer
Business Name
*
Your answer
E-mail Address
*
Your answer
Phone Number
*
Your answer
Briefly describe your business services.
*
Your answer
Preferred method to be contacted?
*
Phone Only
E-mail Only
Phone or Email
Current Website (if any)
*
Your answer
Target Audience (who is your typical client, be descriptive as possible)
*
Your answer
Years in Business
*
Your answer
Average Gross Revenue
*
Choose
Under 10K
10K - 30K
30K - 60K
60K+
Not applicable
Reference Websites (3 if possible)
*
Your answer
Briefly describe (in bullet form if possible),all intend option on your website
*
Your answer
Services you Require
*
Web Design/Development
Web Design Only
Web Development Only
Branding + Identity (includes logo and Stationery)
Internet Marketing (includes Social Media)
General Consultation
Content Creation/Copywriting
Project Budget
*
Choose
Under $1000
$1000 - $3000
$3000 - $5000
$5000 - $10000
$10000 - $25000
$25000 - $50000
$50000 +
Not Sure/ Need assistance
Are you open to recommendations?
*
Yes
No
Any specific colors your prefer (design related)?
Your answer
Do you have a preferred platform for your website?
*
Yes
No
If you answered yes above please state your preferred platform below
Your answer
Timeline for this project?
*
Choose
ASAP
2 Weeks
3 - 4 Weeks
I'm a perfectionist and need it done right
How did you hear about us?
Online ad
Google
Bing
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