Client Questionnaire If you are a human and are seeing this field, please leave it blank. First Name Last Name Email Phone Mailing Address City State 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 Zipcode / Postal Code Country Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua And Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia And Herzegowina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, The Democratic Republic Of The Cook Islands Costa Rica Cote D'Ivoire Croatia (Local Name: Hrvatska) Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Timor-Leste (East Timor) Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France France, Metropolitan French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard And Mc Donald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran (Islamic Republic Of) Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Republic Of Korea, Republic Of Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macau Macedonia, Former Yugoslav Republic Of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States Of Moldova, Republic Of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Kitts And Nevis Saint Lucia Saint Vincent And The Grenadines Samoa San Marino Sao Tome And Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia (Slovak Republic) Slovenia Solomon Islands Somalia South Africa South Georgia, South Sandwich Islands South Sudan Spain Sri Lanka St. Helena St. Pierre And Miquelon Sudan Suriname Svalbard And Jan Mayen Islands Swaziland Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania, United Republic Of Thailand Togo Tokelau Tonga Trinidad And Tobago Tunisia Turkey Turkmenistan Turks And Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela Viet Nam Virgin Islands (British) Virgin Islands (U.S.) Wallis And Futuna Islands Western Sahara Yemen Yugoslavia Zambia Zimbabwe Company Name / Organization Your Title / Position Current website address (if applicable) Please give me a brief overview of your business. What do you do? or what do you want your new business to do? What functions will your new website serve? Please click all that apply. Attract new clients to your businessAllow clients to schedule an appointmentExplain your products and servicesDeliver news or calendar of eventsCreate a blog that addresses specific topics or interestsSell a product or products onlineAllow clients to log in and access particular information Do you have a time frame or deadline to get this site online? Do you have a budget for this project? Building a website can take all kinds of forms and sizes. This question helps to separate the “must-haves” from the “future additions.” Who is your target market? Describe your potential clients. (Age, gender, interests, demographics, etc.) Why do you believe site visitors should do business with you rather than with a competitor? What unique service will you provide? What action(s) would you like site visitors to perform after visiting your site? Please click all that apply. Call youFill out a contact formRequest an estimateSign up for your mailing listFollow you on social mediaSubscribe to your blogSearch for informationPurchase a product(s)Download forms Content Pages on a website can be thought of as similar to chapters in a cookbook, each with a different subject. What pages do you imagine your site will need? (This is just the first brush. Further discussion may expand or reduce this list.) Here are a few common choices. Click all that apply. HomeContact UsAboutOur Products / ServicesPortfolio List any other pages you may need on your websites' main menu. Do you have the written content and images/photographs prepared for these pages? If not, who will be writing the content? If you need my help in gathering high-quality, copyright-free images, please let me know so I can include that in my estimate. Will you need my editing / proof-reading services as part of this job? Please note that before any real design work or site construction can begin, an outline of the content and preferably all of the content will be needed. Is this a site re-design? YesNo If yes, please explain what is working / not working on your current site? What first impression are you hoping to create for people visiting your site for the first time? Are there corporate colors, logo, fonts, etc. that should be incorporated? If you do not already have a logo, will you be getting one designed? Please include at least 3 links of websites of your closest competition. Please include links of 3 websites that you like and comment on what you like about each site. For example, the look and feel, functionality, colors, etc. These do not have to have anything to do with your business, but could have features you like. How do people find out about your business right now? Have you thought about how you're going to market this site? Do you have any social network accounts such as Facebook, Twitter, Instagram, etc? Do you want links to those accounts on your site? Please list the URLs below. Do you have a mail service account (Constant Contact, MailChimp etc.)? If not, will you need one? If someone were searching for your product/service, what types of search terms (single words or phrases) might they use? Please list all the possible search terms you can think of. Do you already own a domain name(s)? (i.e. www.examplesite.com). If you do not have a domain already, what name(s) would you like? If yes, who is the domain registrar, and do you have your login details? Do you have a hosting account already (this is where the actual site files are stored)? If not, would you like my help in setting one up? If yes, do you have the login information? Will there be pages that need regular updating? Which ones? Would you like to be able to do most of the updating yourself? Or are you interested in talking about the maintenance plan I offer? If you’re planning on writing a blog do you already have several things written? Do you already write on a regular basis? Are there any features/pages that you don’t need now but may want in the future? Please be as specific and future-thinking as possible.