Client Questionnaire
Now that you have agreed to work with us, fill out the information below. This is very important to make sure we have a smooth project for you.
Step 1 of 4
25%
First Name
*
Last Name
*
Address
*
Phone Number
*
Email
*
Hours of Operation
*
Website
Company Name
*
Phone number associated with business
*
email associated with business (if not the same as above)
*
What is something that sets you apart from your competition?
*
What is the reason you want or have a website?
*
Who is your ideal customer?
*
What areas do you serve?
*
Tell us about your company?
*
Hosting and Domain Purchase
Do you have hosting?
*
Hosting is what your website is being broadcasted on.
Yes
No
Hosting Login Information **PLEASE PLACE HOSTING NAME,USERNAME AND PASSWORD HERE**
Username/Password
For hosting of your website:
https://www.namecheap.com/wordpress
$22.18 per year You should get your own hosting and send us your username and password.
Do you have web domain?
*
The domain is your business identity example: www.mybusiness.com.
Yes
No
Within Namecheap you can also choose your domain name
Website Domain
What is your website address example http://mywebsite.com
Choose the layout you want for your website
*
Starter
Professional
Corporate
Payment Information
Choose package
*
Bronze
Bronze with logo
Silver Package
Silver with logo
Gold Package
Gold Package with logo
Choose the style for your logo
*
Monogram Logo
Wordmarks Logo
Pictorial marks Logo
Abstract mark Logo
Mascot Logo
The combination mark
The emblem
What color do you want your logo?
*
With this package you will receive:
1. Landing page 2. On-Page SEO 3. Stock images (Approved for use)
With this package you will receive:
1. Landing page 2. On-Page SEO 3. Stock images (Approved for use) 4. Logo design
With this package you will receive:
1. 3 Page Website (Home, About, Contact) 2. On-Page SEO 3. Stock images (Approved for use) 4. Custom share image for social media.
With this package you will receive:
1. 3 Page Website (Home, About, Contact) 2. On-Page SEO 3. Stock images (Approved for use) 4. Custom share image for social media. 5. Logo Design
With this package you will receive:
1. 6 Page Website (Home, About, Products, Machines, Service Area, Contact Us 2. On-Page SEO Pro 3. Stock images (Approved for use) 4. Social media share image
With this package you will receive:
1. 6 Page Website (Home, About, Products, Machines, Service Area, Contact Us 2. On-Page SEO Pro 3. Stock images (Approved for use) 4. Social media share image 5. Logo Design
You will be charged 50% of the total price up front and the other 50% when the job is completed
How would you like to pay?
*
Select Below
Paypal
Credit Card
When you click the submit button you will be redirected to PayPal to finish your transaction.
Remaining Balance Due
Price:
$0.00
Credit Card
*
Card Details
Cardholder Name
Address
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Name
This field is for validation purposes and should be left unchanged.
Step 1 of 4
25%
First Name
*
Last Name
*
Address
*
Phone Number
*
Email
*
Hours of Operation
*
Website
Company Name
*
Phone number associated with business
*
email associated with business (if not the same as above)
*
What is something that sets you apart from your competition?
*
What is the reason you want or have a website?
*
Who is your ideal customer?
*
What areas do you serve?
*
Tell us about your company?
*
Hosting and Domain Purchase
Do you have hosting?
*
Hosting is what your website is being broadcasted on.
Yes
No
Hosting Login Information **PLEASE PLACE HOSTING NAME,USERNAME AND PASSWORD HERE**
Username/Password
For hosting of your website:
https://www.namecheap.com/wordpress
$22.18 per year You should get your own hosting and send us your username and password.
Do you have web domain?
*
The domain is your business identity example: www.mybusiness.com.
Yes
No
Within Namecheap you can also choose your domain name
Website Domain
What is your website address example http://mywebsite.com
Choose the layout you want for your website
*
Starter
Professional
Corporate
Payment Information
Choose package
*
Bronze
Bronze with logo
Silver Package
Silver with logo
Gold Package
Gold Package with logo
Choose the style for your logo
*
Monogram Logo
Wordmarks Logo
Pictorial marks Logo
Abstract mark Logo
Mascot Logo
The combination mark
The emblem
What color do you want your logo?
*
With this package you will receive:
1. Landing page 2. On-Page SEO 3. Stock images (Approved for use)
With this package you will receive:
1. Landing page 2. On-Page SEO 3. Stock images (Approved for use) 4. Logo design
With this package you will receive:
1. 3 Page Website (Home, About, Contact) 2. On-Page SEO 3. Stock images (Approved for use) 4. Custom share image for social media.
With this package you will receive:
1. 3 Page Website (Home, About, Contact) 2. On-Page SEO 3. Stock images (Approved for use) 4. Custom share image for social media. 5. Logo Design
With this package you will receive:
1. 6 Page Website (Home, About, Products, Machines, Service Area, Contact Us 2. On-Page SEO Pro 3. Stock images (Approved for use) 4. Social media share image
With this package you will receive:
1. 6 Page Website (Home, About, Products, Machines, Service Area, Contact Us 2. On-Page SEO Pro 3. Stock images (Approved for use) 4. Social media share image 5. Logo Design
You will be charged 50% of the total price up front and the other 50% when the job is completed
How would you like to pay?
*
Select Below
Paypal
Credit Card
When you click the submit button you will be redirected to PayPal to finish your transaction.
Remaining Balance Due
Price:
$0.00
Credit Card
*
Card Details
Cardholder Name
Address
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone
This field is for validation purposes and should be left unchanged.
