EmailMe Form - Website Needs Assessment

Name *

First Last

Email *

This is the email that we will use for all correspondence.

Confirm

Phone

### - ### - ####

Your mission statement, if you have one:

Who do you feel is your main target audience?

Company Values

Can you provide any photos or graphics for the project? If so, please upload here.

Do you have the verbiage that will need to be included for each of your website pages? (Please note that we don't assist with writing, editing, spelling, grammar, punctuation, etc.)

Yes

No

If you answered No, please begin preparing verbiage for each page.

Which web pages do you think you'll want (if applicable)?

What other pages are you considering?

What other site content are you considering?

Is there other content you'd like?

Which types of forms are you interested in, if any?

Order Form

Feedback Form

Newsletter Subscription Form

Is there another type of form you'd like?

Have you purchased your domain name?

Yes

No

If yes, what is the name?

Have you registered your domain name?

Yes

No

If yes, who is your domain name registered with?

Do you have a hosting plan for your website?

Yes

No

If yes, who is your hosting account with?

Please list one or more URLs for sites that you like:

If you were to look for your site in Google, what query words do you think you would type in?

Please list one or more URLs for sites that you really don't like: