Web Design Questionnaire

Company Name (Required)

Contact's Name (Required)

Contact's Position (Required)

Email (Required)

Phone (Required)

Phone to display on site (Required)

Email to display on site (Required)

Physical address to display (Optional)

Preferred email for site contact form (Required)

List your services (Required)

Describe Your Services (Required)

Describe your business (Required)

Logo - optional (if you don't have one we can help) If no logo is supplied we will use text.

Upload File

What makes your business or services unique (Optional)

Describe your color or theme preferences (Required)

Do you have photos you would like to use? If no photos are supplied we will use stock images.

Yes

Photo 1 (Optional)

Upload File

Photo 2 (Optional)

Upload File

Photo 3 (Optional)

Upload File

Photo 4 (Optional)

Upload File

"About Us" (Optional)

Tell us any additional information that will help us design your site

Facebook (Optional)

Instagram URL (Optional)

Google Business URL (Optional)

LinkedIn URL (Optional)

TikTok URL (Optional)

YouTube URL (Optional)

I accept that site editing after the site is published is only available with a monthly maintenance plan or can be purchased in one hour increments on a time by time basis. Alternatively, I may buy out my site and will be responsible for all editing of content, can add content and pages and republish as needed.

I accept

I would like control of my site after it is published , so I can make my own edits and updates.

Yes, add $299 to my invoice

Monthly Editing Plan

30 Minutes Monthly, Bill me $55 per month (12 Month Minimum)

60 Minutes Monthly, Bill me $75 per month (12 Month Minimum)

I will Pay $99 as needed. (Pricing subject to change)

No Thanks, I chose to control my own edits.

Web Design Questionnaire

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