Full Name
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First Name
Last Name
Email Address
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Company/Organization Name
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City, State or Province
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Please describe your business or organization in a few , short sentences.
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Do you have a slogan or tagline that clearly describes what you offer in terms of services, benefits or features?
Please describe your potential customers. Pay special attention to their income, interests, gender, age, even type of computer they use, e.g., old with dialup account or newer with broadband. If your website is a business-to-business site, what sort of companies are you hoping to attract?
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Who are the decision makers on this project? What is the turnaround time for making a decision?
What is your deadline for completing the site?
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MM
DD
YYYY
Please list the names/URLs of three other sites that you like. Why are they attractive to you?
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How many pages do you need for your web site?
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Do you have a logo?
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Yes
No
Are you planning to do online sales?
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Yes
No
Do you already have images you would like displayed on your site?
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Yes
No
Do you currently have a Squarespace or Shopify account?
Yes
No
How did you hear about me?
If you were referred by someone, please provide their name:
