Website Design and Business Information Questionnaire Leave this field blankThis questionnaire is designed to enhance communication in order to complete the setup of your new campaign. Please complete this as soon as possible to assure that your goals and timeline for campaign completion are met and that your business information is consistent on the internet. First name Last name Business Name Your Title Email Address Website Address (optional) https:// Street Address Address Line 2 (optional) City State Zip / Postal Code Business Phone Number? Cell Phone Number? Do You Have Any Additional Business Locations? Yes No Did Your Purchase Website Design Services? Yes No Website Details and Information What Are Your Top 3 Goals For A New Website or Re-Design? Increase Brand Awareness Increase/Generate Targeted Website Traffic Generate More Qualified Leads Generate New Sales Build Customer Loyalty Get Found On Google Increase Email Subscribers Improve Conversion Rate Preferred Website Colors (optional) #1 Example Of A Website That You Like (optional) https:// #2 Example Of A Website That You Like (optional) https:// #3 Example Of A Website That You Like (optional) https:// Enter Your Top 3 Preferred Website Domain Names (optional) Do You Already Have A Registered Domain Name? Yes No Enter Your Current Website Address Domain Registrar Provider Name (optional) Domain Registrar Username (optional) Domain Registrar Password (optional) Do You Already Have A Website Hosting Service? Yes No Hosting Service Provider Name (optional) Hosting Service Username (optional) Hosting Service Password (optional) Street Address Address Line 2 (optional) City State Zip / Postal Code Business Phone Number? Business Opening Date Year Month Day Number Of Employees Hours of Operation Service Area Accepted Payment MethodsWhat payment methods does your business accept for your services/products? (select all that apply) Cash Personal/Business Check Traveler's Checks Visa Invoice Financing Available Mastercard Insurance PayPal American Express ATM / Debit Discover Tagline (optional) What are your main goals this marketing campaign? Please provide a description of your business. What Are the top 5 services that you want to be found for on Google? Please list any additional services or products that you would like to be found for Who are your top 3 competitors? What sets you apart from your competitors? Please describe your ideal customer/client or patient What is your ideal customer/client or patient struggling with? How do you help your your ideal customer/client or patient with their struggles? Is your business locally owned and operated? Yes No What communities/cities do you serve? What are the top 5 communities/cities where you would like to see an increase in online exposure? Does your business have any special awards, distinctions, certifications or qualifications? Any additional information you would like us to know ? Besides bringing traffic to your website, what are your top 3 goals for your website's content/blog? Increase brand awareness Generate more qualified leads Generate new sales Build customer loyalty Get found on Google Increase email subscribers Improve conversion rate Do you currently have ADMIN access to your Google Analytics account? Yes No Do you currently have ADMIN access to your Google Search Console account? Yes No Business Attributes Please check all that apply. Identifies as Asian-owned Identifies as Black-owned Identifies as Latino-owned Identifies as LGBTQ+ owned Identifies as veteran-owned Identifies as women-owned Accessibility Has wheelchair accessible restroom Yes No Has wheelchair accessible seating Yes No Service Options Offers online appointments Yes No Onsite services available Yes No Existing Listings Yelp (optional) https:// Google Business Profile (optional) https:// Social Media Accounts Facebook (optional) https:// Instagram (optional) https:// Twitter (optional) https:// LinkedIn (optional) https:// YouTube (optional) https:// Other (optional) https:// Send Save and Complete Later
