Web Design City
824 Gum Branch Road Suite H
Jacksonville, NC 28540
Local Phone: 910-238-0429 | Toll Free: 888-309-2246

Please tell us about your web project by filling out the form below or call today at 888-309-2246

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New Client Questionnaire * Indicates Required Field
Contact Information
Company Name:*
Contact Name/Title:*
Street Address:
City:
State:
Zip Code:
Phone Number:*
Email:*
What web services are you interested in? (Check all that apply)	Web Site Design and Development Web Site Hosting Domain Registration Logo Design Web Site Maintenance Site Analysis E-Commerce Search Engine Marketing - Organic (Free Listings) Search Engine Marketing - PPC (Pay Per Click) Social Marketing (Facebook, Twitter, YouTube, Wordpress Blog) Newsletters Database Development
Background
Describe the nature of your business:
List the services you provide:
Describe your target audience. Do they have any special needs?
What is the core purpose of your website? (Check all that apply)	Entertainment Increase Corporate Brand/Product Recognition Reduce Customer Service Calls Increase Sales and Prospective Customer Base
Will this be a new website or redesign of an existing website?
If you already have a website, will you be using the existing content?	Yes No N/A
What image do you want your website to project? (look and feel)
What is the primary message you want to convey?
Please list some examples of websites you like and what you like about them.
Please list some competitor's websites and what you like and dislike about them.
Content
Do you have a company logo?	Yes No
Do you have a company slogan and/or mission statement?	Yes No
Do you have a corporate color scheme or any symbols/icons that we should incorporate into the design?	Yes No
Do you have any specific design elements in mind?
How many pages do you anticipate your website will have?
Do you currently have marketing materials that we should incorporate into the design?	Yes No
Do you already have image/graphic content for your website?	Yes No
Do you have anything in mind for background images or colors?	Yes No
Do you have text ready for your website?	Yes No
Do you have any database requirements?	Yes No
E-Commerce
Will you be accepting credit cards?	Yes No
If so do you have a merchant account?	Yes No
List the name of your merchant account.
How many products/services are you planning to sell?
Maintenance
Are you interested in having us do updates and maintenance to the site?	Yes No
How often would you require updates?	Weekly Monthly Quarterly
Do you require us to train an employee?	Yes No
Are there parts of your website that will need to change regularly?
Hosting
Do you currently have a web hosting package?	Yes No
If so, what company hosts your website?
Would you like Web Design City to host your website?	Yes No
What email software do you currently use?
How many email accounts will you need?
Do you currently have a domain name?	Yes No
If yes, please list as relevant to this project.
If no, please list your ideas.
Would you like access to web statistics?	Yes No

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