Website Assessment Form

Company Name

First Name*

Last Name*

Phone

Email

Type of Website*

Goals of your Website

Examples of Websites you Like

Your Competitors' Websites

Web Design Service Needed*

Re-Design
Pre-Made Theme
Fully Custom
E-commerce

Do you Have a Domain Name?*

Yes
No

Domain Name*

(e.g: www.yourdomainname.com)

Do you Have Web Hosting?*

Yes
No

This is where website files are safely stored for online viewing. (can offer service if needed)

Web Hosting Company

What Emails Would you Like to Create for your Website?

(e.g.: name1@yourwebsite.com, name2@yourwebsite.com)

Do you Have a Website Framework Preference?

Full Width Screen
Container Box
One Page Parallax

Do you Have a Home Page Design or Sketch you Would Like us to Reference?*

Yes
No

Upload Design or Sketch Here

Number of Pages in your Website?

(i.e. Home, About, Services, Contact = 4 Pages)

Page Names and Navigation

(i.e. Home, About, Services/Service1/Service2/Service3, Contact Us)

Do you Need the Custom Inside Pages Designed or Will they Be All the Same Layout?

No, all inside pages will all have the same layout
Yes, I will need custom inside pages with differing layouts

How Many Custom Inside Pages Do you Need?

Do you Have a Logo?

Yes
No

Upload your Logo Here

Do you Have Photos?

Yes
No

We have stock photos for sale by request.

Upload your Photos Here

Drop files here or

Do you Have Copy? (Written Text on Website)

Yes
No

Upload Word Document of Copy Here

What Website Features Did you Have in Mind?

What are the Most Important Features of your Website?

(i.e. online ordering, contact form, event information, etc)

Do you Have a Color Scheme in Mind?

(i.e. soft pastels, pinks, yellows, green OR bold, red black, etc.)

Which Style Best Describes your Website?

If you Have a Payment Gateway Account, Which One Do you Have or Plan to Use?

If you Plan on Having Shipping Integration on your Website, What Type of Shipping Do you Plan to Use?

Flate Rate
Percentage
Zone
Other

What are the Top 3 Most Important Concerns for your Project?

Additional Comments

Additional Files

Drop files here or

Would you Like More Information on Other Marketing Services?

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Website Assessment Form