Website Questionnaire
Contact Information
Name
*
Address
Street Address
Apt, Suite, Bldg. (optional)
City
State / Province / Region
Postal / Zip Code
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombi
Comoros
Congo (Brazzaville)
Congo
Costa Rica
Cote d\'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor (Timor Timur)
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia, The
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, South
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepa
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Country
Email
*
Website Information
Do you currently have a website?
If no, skip to the next section.
Yes
No
If so, what is the URL?
Do you already have a domain and hosting setup for your new website?
Yes
No
Do you have the FTP and domain log in information accessible?
Yes
No
If so, what company or companies do you use?
What is the age range of your target client base?
Describe the products/services you sell:
What do you like most about your current website?
What are your top 3 frustrations with your current website?
1st frustration
2nd frustration
3rd frustration
Do you have any color preferences to include?
Name 3 things that are most important about the design of your new website:
1st important design aspect
2nd important design aspect
3rd important design aspect
Name three to five websites that appeal to you visually:
1st appealing website
*
4th appealing website
2nd appealing website
*
5th appealing website
3rd appealing website
*
Why are these websites appealing to you?
What is the deadline or timing of completion for your website?
What is your budget?
Will you be needing SEO help (keyword identification, Analytic setup, etc.)
Yes
No
Will you need e‐commerce on your new website?
Yes
No
Will you be taking payments on your website?
Yes
No
Is your logo and other imagery web ready?
Yes
No
Do you have all images that you would like to be included in your website?
Yes
No
Do you need a copywriter?
Yes
No
If you are using existing copy on your current website, will it need to be modified in any way?
Yes
No
Do you need to be able to update the website on your own?
Yes
No
Who will be responsible for updating your site?
Any specific features you would like included in your new site? Any other pertinent information that you would like me to know?
Verification
Please enter any two digits
Example: 12
This box is for spam protection -
please leave it blank
