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Web Questionnaire
Web Questionnaire
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Web Questionnaire
Client Website Questionnaire
Customer Name
*
Company
Address
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip code
Phone
*
Email
*
Website Credentials
Website/URL
*
FTP Login
FTP Password
Design Objectives and Requirements
Favorite Site 1
Favorite Site 2
Favorite Site 3
Objectives ("What is the purpose of the website?")
Establishing corporate identity
Creating brand awareness
Advertising product and/or service
Selling product and/or service online
Providing customer service
Providing product support
Other
other, please specify
Is there a logo?
Yes
No
Logo Upload
Drop a file here or click to upload
Choose File
Maximum upload size: 67.11MB
Are there corporate colors?
Yes
No
Please specify corporate colors
Internal Only
Totals
Submit
