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Get Started - Online Needs Assessment
Please fill out this needs assesment form so we can get an idea of what type of website you are looking for.

Company Name:

Phone #:

E-mail:     *

Additional comments.

*

Please enter the code below (code is case sensative) and then send.

Contact name:

Address

What are your business colors?

Do you have a logo?

yes no

Is it in Jpeg/Gif. form?

yes no

What pictures would you like to see on this site? Check all that apply

Please Specify

What do you want to convey to your customers through your website?

Do you have a mission statement. If so please specify?

What message do you want to have on your homepage to set you apart from other companies?

Staff:

Other:

Work Area:

Office:

Waiting Area:

Grounds:

Equipment:

Offsite Projects:

Logo:

City

Postal Code:

What Pages do you want on your website?

 

Who is your domain name registered with?

Home:

Contact:

About:

Contact Form:

Hours/Map:

Our Staff:

Portfolio:

Testimonials:

Feature Products:

Pricing:

Printable Coupons:

What useful links would you want on your website?

What specials will you offer?

What producs or services do you offer?

What products do you want to showcase on your website? ( for a multiple products like restaurant menus or full product lists extra fees apply)

Please give a brief description of what you would like your website to look like and what information you hope your customers will find.

Do you want pay pal on your website for online payment?

yes no

What product or service will be available for payment online?

Extra fees apply

Do you have a domain name for your company already?

If yes, what is your domain name?

yes no

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