Email address *
Your Name
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Business Name
Your answer
Current Website Address
Your answer
Why do you want a new website or a website re-design?
Your answer
Describe your business in a few sentences:
Your answer
What sets your business apart from your competitors?
Your answer
How would you describe your typical customer/client? (age, gender, income level, etc.)
Your answer
What is your budget for this project?
What is your deadline for this project?
Your answer
Who will be making the decisions regarding this project?
Your answer
For what words or phrases do you want to rank well in search results?
Your answer
Who are your online competitors for these words or phrases?
Your answer
Who will be responsible for writing the text content for the website?
Your answer
Who will be responsible for maintaining the site after launch?
Your answer
Do you have a logo, and are you happy with it?
Are you planning to offer online sales (e-commerce)?
How do you plan to promote your website after it launches?
Your answer
How did you find us?
Your answer
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This form was created inside of Ric Glass Media.