Questionnaire

Website Design Questionnaire

This is a website questionnaire to help me in determining your needs for a website. Please fill out to the best of your ability. Some of the fields are required while others are not.

Contact Information
Name*
First Last
Phone
Contact phone number
Email

Contact email address
Industry
Industry
Please select the industry that your website will be representing.
Will This Be A Personal or Business Website?*
- Personal
- Business
Name For Website

Please enter your personal or business name as you would like it to appear on your website. If not sure, enter "Not Sure" for name.
How Large Is Your Organization (ex: Nbr of employees)?*
- 1 - 5
- 5 -10
- 10 - 25
- 25 - 100
- 100+
How many individuals will be involved with the website?
Size of Website Budget?*
- < $500
- $500 -$1,000
- $1,000 - $2,500
- $2,500 - $10,000
- > $10,000
How much have you budgeted for the website development and other costs that may be involved.
Domain Name and Website Hosting
Do You Have A Current Website?
- Yes
- No
Name of Domain*

Ex: http://mydomain.com
URL of Website*

Usually is the same name as the domain
URL of Website Hosting Company*

What is is the URL of the website hosting company?
Do You Have A Current Domain Name?*
- Yes
- No
Name of Domain*

Ex: http://mydomain.com
Do You Want To Use It For This Website?*
- Yes
- No
Do You Want Us To Obtain a New One For You?*
- Yes
- No
Domain Name Choice 1:

Please enter your first choice for domain name.
Domain Name Choice 1:

Please enter your first choice for domain name.
Domain Name Choice 2:

Please enter your second choice for domain name.
Domain Name Choice 2:

Please enter your second choice for domain name.
Domain Name Choice 3:

Please enter your 3rd choice for domain name.
Domain Name Choice 3:

Please enter your 3rd choice for domain name.
WordPress
Website Knowledge
- WordPress
- Plugins
- HTML
- CSS
- PHP
- SEO
- None
Please check all the boxes that you have an understanding of what they are and have some knowledge on how to use them.
Website Content
Do You Have Images That Are To Be Displayed On Website?
- Yes
- No
Do You Have a Privacy Statement?
- Yes
- No
Will You Be Selling Products?
- Yes
- No
Do You Have A PayPal or Merchant Account?
- Yes
- No
Do You Have A Terms and Condition Statement?
- Yes
- No
What is the approximate number of line items?

This would be the approximate number of inventory items.
Other
Do You Need a Calendar for Events
- No
- Yes
- Not Sure
Do You Need Mass Mailing Capability
- No
- Yes
- Not Sure
Do You Have Profile Picture(s) and Associated Text?
- Yes
- No
Do You Have Social Media Accounts?
- Yes
- No
Do You Want Your Website To Contain Links To Them?
- Yes
- No
Other Information
Enter any information, not asked above, that may pertain to the development of your website.
Email
This field is for validation purposes and should be left unchanged.

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Questionnaire

Website Design Questionnaire

Contact Information

Industry

Domain Name and Website Hosting

WordPress

Website Content

Other