Web Design Questionnaire

First Name *

Last Name *

Email *

What's your phone number? *

When is the best time to reach you? *

 Morning

 Afternoon

 Evening

 Night

Company Name *

City *

What type of mobile phone do you currently have? *

Do you currently have a website? *

 Yes

 No

If so enter the url here

Who is your target audience? *

What is the purpose of this site? *

 Explain your products and services

 Bring in new clients to your business

 Provide your customers with info on a certain subject

 Deliver news or calendar of events

 Create a blog that addresses specific topics

 Sell a product or products online

 Provide support for current clients

Do you have a logo? *

 Yes

 No

Do you want a new logo? *

 Yes

 No

Do you have written content and images prepared for your site? *

 Both

 Images

 Content

 Niether

Are there any special functions you want?

 Ecommerce (online store)

 Memberships

 Forms

 Map

 Online Course

 Blog

 E-mail Sign-up

Do you have any social media accounts for this website? *

 None

 Facebook

 Twitter

 Instagram

 Google+

 Linkedin

 Pinterest

 Snapchat

 Tumblr

 Youtube

 Vine

 Reddit

Other comments or questions?

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