Web Design & Search Engine Form
Please fill out this form to the best of your knowledge to help our web developers deliver the perfect web design!
Email address *
Business Email Address:
Your answer
Your Full Name: *
Your answer
Business Owner's Name: *
Your answer
Business Name: *
Trade Name - Business Name to be Used on Website & Search Engines like Google.
Your answer
Business Address: *
Your answer
City / Town / Municipality / Region *
Your answer
Province / State *
Your answer
Country: *
Your answer
Postal Code: *
Format: A1A 1A1
Your answer
Parking? *
Explain the 'parking' situation for clients visiting your location.
Your answer
Business Phone# *
Format: (123) 456-7890
Your answer
Mobile Phone#
Format: (123) 456-7890 For our purposes only (Apple Maps, Yelp, & others may send Verification Codes to your mobile phone)
Your answer
NAP *
Is your Business Name, Address, & Phone# safe to share across the World Wide Web?
Your answer
Wheelchair Access *
Is Your Business Location Wheelchair Accessible?
Business Category: *
Contractor, Plumber, Lawyer, Photographer...
Your answer
Domain Name / URL: *
Example.ca - If you do not own a domain name. Please type in a domain you would 'like' to own, for your website.
Your answer
Colours *
Which main colours would you like to use on your website?
Your answer
Website Standards
Share up to three websites you find attractive:
Your answer
Competitors
Please name 1,2, or 3 of your main competitors. You may also leave us an explanation.
Your answer
Employees: *
Number of employees currently staffed within your company.
Your answer
Business Hours: *
Hours of Operation from Monday - Sunday
Your answer
Year of Company Formation: *
Your answer
Payment Methods Accepted: *
Required
Google my Business Listing *
Do you own a Google listing; if so, please share the URL/s / link/s below:
Your answer
Social Media URL's
List any social media URL's here: E.g. Facebook, Instagram, Twitter, etc.
Your answer
Search Queries
How does your current customer or potential client find you on Google search or any other search engine?
Your answer
Short description of business: *
Enter up to 15 - 20 Words:
Your answer
Full description of business: *
Enter between 25 to 100 words:
Your answer
Keywords (5) *
If someone is searching for your products or services; what are the top five keywords they would search for?
Your answer
Who will maintain your website: *
Anything Extra:
Links, Special Instructions, Specifics we may have spoken about in person or, over the phone...
Your answer
Missing:
Anything missing from this form that we should include for future Parxavenue Web Design or SERPs SEO clients?
Your answer
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