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Website Design Questionnaire
Name
*
First
Last
Email
*
Website Domain Name (example: servously.com)
*
About Your Website
Business or Brand Name
*
Address
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone
Email
Tell us what your company/website does
Someone’s searching the web for your website. What words or phrases will they search for in Google?
What is it that makes you or your services unique on the market?
Design Ideas
Do you have a logo?
Yes
No - I would like one designed
No - I will create something on my own
Please upload your logo
*
Drop files here or
Accepted file types: jpg, png, pdf.
What colors or design concepts would you like included in your website?
Please include colors (HEX color codes), symbols and design ideas. Feel free to upload a screenshot or link below.
Design Ideas - Upload images/screenshots
Drop files here or
Accepted file types: jpg, gif, png, pdf.
Do you have a headshot or team photo to be used on the website?
*
Yes
No - I will send later
No - I don't want to use a photo
Photo upload
Drop files here or
Our website should include:
*
Please select any elements that you would like to see on your website.
Informative website
Responsive design for use of desktops, tablets, and mobile
Online Magazine
Blog
Redesign of the current website
E-commerce
Membership website
Portfolio
Contact Form
Features/User experience to be included:
*
Social network integration (Facebook, Twitter, etc)
Registration form
Search functionality
Newsletter / email sign-up forms with appropriate calls to action
Information / request forms
Uploads / downloads
Customer login
An online store / shopping cart
Online payment gateway
Image gallery
Image slider
Other features
What pages will you need on your website?
*
Examples: About, Contact, Services, etc.
Will you be providing the copy/content for your website or do you need a copywriter to assist with this?
Please include links to websites that you are drawn to (aesthetically and/or user experience).
Please include your social media links
Facebook page, Pinterest page, Instagram, Snapchat, Twitter
Any additional information that you think I should know?