Soul Pitt Media Form Login Account (optional)

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Soul Pitt Media Client Questionnaire

Please fill out the form below so I get a good understanding of what you are looking for concerning website design or redesign. Once completed, I will get back to you within 2 to 3 business days or sooner with a price quote.

Site Owner Contact Info

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number (s) *

Primary Email Address *

Basic Web Site Info

What date would you like your site completed by? * +

What is your budget for this project? *

What is the name of the business that you need the web site for? *

Do you have a tagline? For example my business name is Soul Pitt Media and the tagline is "Saving Souls One Design at a Time!" *

What is your domain name?

If you do not have a domain name (www.yourname.com), what are your ideas for the name of your web? Choose 3-5 names. Keep in mind, you're choices may already be taken. You can check www.godaddy.com for availability. Consider registering a few general and specific variations including .net and .org domains. Your domain name should be easily identifiable, easy to explain over the phone and print on a business card. Most short names are usually taken; long names can be good if they click in someone's mind. Resorting to lengthy explanations or spelling means problems. *

Do you have a color scheme or an idea about how you want your web to look? Please describe. *

Please answer these following questions to the best of your ability. If you're unsure, you also have the option to write something in to clarify or comment. *

	Yes	No	Unsure
Do you have Paypal?	Yes	No	Unsure	Unsure
Will you be selling stuff online?	Yes	No	Unsure	Unsure
Will you want to update the site yourself?	Yes	No	Unsure	Unsure
Have you ever used Microsoft Word?	Yes	No	Unsure	Unsure
Do you need a logo or need one updated?	Yes	No	Unsure	Unsure
Do you have a site currently online already?	Yes	No	Unsure	Unsure

Describe the marketing strategy of your business. And, what is the purpose of your web? What do you want it to do for you? Who are your best customers, not company names but by type of business or consumer profile if you have one. Why are they the best? Take a long term view of your business, service or organization. You can type a lot of information in the box. Just tell us what you can. *

When someone goes to google to type in keywords to look for a site like yours, what keywords do you want to be included to bring up your site? *

List the web addresses of a few websites you like that maybe similar to yours or just websites that you like the look and feel of. Please briefly explain why. *

How does your company differentiate itself from its competitors, what makes yours more unique? *

List e-mail addresses you want associated with your domain name List e-mail addresses you want associated with your domain name
(example: info@yourcompany.com, support@yourcompany.com) *

What are the names of the pages you want on your site? (ex: Home, contact, services, etc.) *

Additional Comments or Questions you may have