First Name

Last Name

Email Address

Phone

Company/Organization

Your Title/Position

Website

What are your Primary Goals for your online presence?

What are your Primary Goals for this website?

What Call-to-Actions should be on the site?

What type of functionality would you like to see?

How many pages do you foresee in the initial development?

Do you currently have a domain name purchased?

Do you currently have a hosting plan in place?

Will you or one of your staff want to edit pages or manage the site? Will you or one of your staff want to edit pages or manage the site? Yes No

If you'd like to edit, update or manage the site, what's your technical skill level? If you'd like to edit, update or manage the site, what's your technical skill level? Not very knowledgable, need a lot of direction. Moderate knowledge, but need some clear direction. Pretty advanced knowledge, I learn very quickly. I don't plan on editing, updating, or managing the site.

Are you involved in social media? If so, what platforms do you use? Are you involved in social media? If so, what platforms do you use? No, I am not on social media. No, I am not on social media and would like to inquire on the following that I have selected. Facebook Twitter Instagram LinkedIn Pinterest YouTube TikTok Other

Please provide any other feedback or comments that will help us in creating a proposal.