Name
*
First Name
Last Name
Business Name
*
Industry
*
How do you want to be contacted by clients?
*
Phone Number
(This will be displayed on the website. If you do not wish to display this, please leave it blank.)
(###)
###
####
Business Address (if applicable)
(This will be displayed on the website. If you do not wish to display this, please leave it blank.)
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
If you want to include your business address on your website, how do you want it displayed?
Brief description of your business
*
Products or services offered
*
Current audience
*
(List as many details as possible about your current customers, including ideal age, profession, industry, hobbies, values and passions.)
Ideal audience
(Describe your ideal target audience, if different from above.)
Main business goal(s)
*
(e.g. get new clients into my brick and mortar store, promote an online class, display my photography portfolio, get newsletter sign ups, etc.)
Who is your competition?
*
Provide their URLs here
When customers first see your website, how do you want them to feel?
*
*
What elements and features do you like the most about it?
*
What elements and features do you like the least about it?
*
What elements and features do you like the most about it?
*
What elements and features do you like the least about it?
*
What elements and features do you like the most about it?
*
What elements and features do you like the least about it?
Do you require any of the following features?
Please select all that apply.
Please provide any other information here on what you'd like to see in your website.
