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Website Design Questionnaire Form
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* Indicates required question
Name:
*
Your answer
Phone Number
*
Your answer
Email Address
*
Your answer
Preferred method of contact:
*
Phone
Email
What type of website are you interested in?
*
Ecommerce
Informational
Professional Portfolio
Blog/Personal
Other:
What services are you interested in?
*
Diamond
Platinum
Gold
Basic
Required
What is your business name?
*
Your answer
Please provide more information about your business:
*
Your answer
How many pages are you looking to have? What would be the name for each page?
*
Your answer
Do you already have a logo for your business?
*
Yes
No
Other:
Do you have social media accounts that you would like to have added to your website?
Yes
No
Other:
Clear selection
Do you have information ready to add to the website? Such as About Me, products, images, write-ups, etc.
*
Your answer
What are the top 3 colors you want to use on your website?
*
Your answer
Any additional notes, questions?
Your answer
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