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Name
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Email Address
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Phone
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Company name
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Position in company
Year Established
Website Address
Company Street Address
City
State
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Zip Code
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Number of employees
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State the purpose of your business
For Profit
Non-profit
What services are needed? (select all the apply)
Article/Content Writing
Branding
eCommerce Development
Google Ads
Logo Design
Mobile App Development
SEO
Social Media Ads
Social Media Optimization
Video Production
Voiceover
Web Design/Development
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Are you reaching your goals?
Yes
No
Don't have one
Industry Type
Accommodation (NAICS 721)
Accommodation and Food Services (NAICS 72)
Administrative and Support Services (NAICS 561)
Administrative and Support and Waste Management and Remediation Services (NAICS 56)
Agriculture Forestry Fishing and Hunting (NAICS 11)
Air Transportation (NAICS 481)
Ambulatory Health Care Services (NAICS 621)
Amusement Gambling and Recreation Industries (NAICS 713)
Animal Production (NAICS 112)
Apparel Manufacturing (NAICS 315)
Arts Entertainment and Recreation (NAICS 71)
Beverage and Tobacco Product Manufacturing (NAICS 312)
Broadcasting (except Internet) (NAICS 515)
Building Material and Garden Equipment and Supplies Dealers (NAICS 444)
Chemical Manufacturing (NAICS 325)
Clothing and Clothing Accessories Stores (NAICS 448)
Computer and Electronic Product Manufacturing (NAICS 334)
Construction (NAICS 23)
Construction of Buildings (NAICS 236)
Couriers and Messengers (NAICS 492)
Credit Intermediation and Related Activities (NAICS 522)
Crop Production (NAICS 111)
Data Processing Hosting and Related Services (NAICS 518)
Education and Health Services
Educational Services (NAICS 61)
Electrical Equipment Appliance and Component Manufacturing (NAICS 335)
Electronics and Appliance Stores (NAICS 443)
Fabricated Metal Product Manufacturing (NAICS 332)
Finance and Insurance (NAICS 52)
Financial Activities
Fishing Hunting and Trapping (NAICS 114)
Food Manufacturing (NAICS 311)
Food Services and Drinking Places (NAICS 722)
Food and Beverage Stores (NAICS 445)
Forestry and Logging (NAICS 113)
Funds Trusts and Other Financial Vehicles (NAICS 525)
Furniture and Home Furnishings Stores (NAICS 442)
Furniture and Related Product Manufacturing (NAICS 337)
Gasoline Stations (NAICS 447)
General Merchandise Stores (NAICS 452)
Goods-Producing Industries
Health Care and Social Assistance (NAICS 62)
Health and Personal Care Stores (NAICS 446)
Heavy and Civil Engineering Construction (NAICS 237)
Hospitals (NAICS 622)
Information (NAICS 51)
Insurance Carriers and Related Activities (NAICS 524)
Internet Publishing and Broadcasting (NAICS 516)
Leather and Allied Product Manufacturing (NAICS 316)
Leisure and Hospitality
Lessors of Nonfinancial Intangible Assets (except Copyrighted Works) (NAICS 533)
Machinery Manufacturing (NAICS 333)
Management of Companies and Enterprises (NAICS 55)
Manufacturing (NAICS 31-33)
Merchant Wholesalers Durable Goods (NAICS 423)
Merchant Wholesalers Nondurable Goods (NAICS 424)
Mining (except Oil and Gas) (NAICS 212)
Mining Quarrying and Oil and Gas Extraction (NAICS 21)
Miscellaneous Manufacturing (NAICS 339)
Miscellaneous Store Retailers (NAICS 453)
Monetary Authorities - Central Bank (NAICS 521)
Motion Picture and Sound Recording Industries (NAICS 512)
Motor Vehicle and Parts Dealers (NAICS 441)
Museums Historical Sites and Similar Institutions (NAICS 712)
Natural Resources and Mining
Nonmetallic Mineral Product Manufacturing (NAICS 327)
Nonstore Retailers (NAICS 454)
Nursing and Residential Care Facilities (NAICS 623)
Oil and Gas Extraction (NAICS 211)
Other Information Services (NAICS 519)
Other Services (except Public Administration) (NAICS 81)
Paper Manufacturing (NAICS 322)
Performing Arts Spectator Sports and Related Industries (NAICS 711)
Personal and Laundry Services (NAICS 812)
Petroleum and Coal Products Manufacturing (NAICS 324)
Pipeline Transportation (NAICS 486)
Plastics and Rubber Products Manufacturing (NAICS 326)
Postal Service (NAICS 491)
Primary Metal Manufacturing (NAICS 331)
Printing and Related Support Activities (NAICS 323)
Private Households (NAICS 814)
Professional and Business Services
Professional Scientific and Technical Services (NAICS 54)
Publishing Industries (except Internet) (NAICS 511)
Rail Transportation (NAICS 482)
Real Estate (NAICS 531)
Real Estate and Rental and Leasing (NAICS 53)
Religious Grantmaking Civic Professional and Similar Organizations (NAICS 813)
Rental and Leasing Services (NAICS 532)
Repair and Maintenance (NAICS 811)
Retail Trade (NAICS 44-45)
Scenic and Sightseeing Transportation (NAICS 487)
Securities Commodity Contracts and Other Financial Investments and Related Activities
(NAICS 523)
Service-Providing Industries
Social Assistance (NAICS 624)
Specialty Trade Contractors (NAICS 238)
Sporting Goods Hobby Book and Music Stores (NAICS 451)
Support Activities for Agriculture and Forestry (NAICS 115)
Support Activities for Mining (NAICS 213)
Support Activities for Transportation (NAICS 488)
Telecommunications (NAICS 517)
Textile Mills (NAICS 313)
Textile Product Mills (NAICS 314)
Trade Transportation and Utilities
Transit and Ground Passenger Transportation (NAICS 485)
Transportation Equipment Manufacturing (NAICS 336)
Transportation and Warehousing (NAICS 48-49)
Truck Transportation (NAICS 484)
Utilities (NAICS 22)
Warehousing and Storage (NAICS 493)
Waste Management and Remediation Services (NAICS 562)
Water Transportation (NAICS 483)
Wholesale Electronic Markets and Agents and Brokers (NAICS 425)
Wholesale Trade (NAICS 42)
Wood Product Manufacturing (NAICS 321)
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Type of project
New Design
Re-design
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What is your current estimated budget for this project?
Under $1500 – Small tasks not a fit for most services
$1500 – $2999 – Small-scale projects only
$3000 – $4999 – Entry-level web projects
$5000 – $7499 – Full custom web plus Jumpstart SEO
$7500 – $9999 – Advanced web SEO or eCommerce
$10000 – $14999 – Multi-service or high-complexity projects
$15000+ – Premium-tier or full-scope digital strategy
Not sure
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Are you currently working with a web developer or digital agency?
Yes – currently working with a web developer
Yes – currently working with a digital agency
I was working with someone – but we’ve stopped
I’m planning to switch providers
No – not working with anyone
Not sure
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Are you currently working with anyone for SEO?
Yes – currently working with an SEO provider
I was working with an SEO provider – but not anymore
Planning to switch SEO providers
No – not doing any SEO
Not sure
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Are you running any paid ads (Google, Facebook, Instagram, etc.)?
Yes – running ads with an agency
Yes – running ads internally
We were running ads – but paused the campaign
Planning to start advertising soon
No – not running any ads
Not sure
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Are you moving on from a previous provider? Tell us why.
Yes – poor results
Yes – poor communication
Yes – high cost
Yes – changing strategy
Yes – closing business relationship
Not applicable
Other
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What specific results do you want to achieve in the next 3–6 months?
More leads
More sales
Better local visibility
Improved brand awareness
Higher Google rankings
Better conversion rates
Faster website performance
Launch a new product or service
Attract investors or partners
Other
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What KPIs or performance metrics are most important to your business?
Website traffic
Lead volume
Sales or revenue
Conversion rate
Bounce rate
Keyword rankings
Ad click-through rate
Return on ad spend
Social media engagement
Customer retention
Other
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What does "a successful project" look like to you?
Achieving specific business goals
Positive ROI
Smooth and professional experience
High-quality design and branding
Increased website traffic
Increased online engagement
Improved search rankings
More qualified leads
Better customer experience
Launching on time and on budget
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How do you plan to differentiate yourself?
Better product or service quality
Lower pricing or more affordable options
Premium or luxury experience
Faster delivery or turnaround times
More personalized customer service
Innovative features or tech integration
Stronger brand identity and design
Unique brand story or mission
More niche or specialized focus
More transparent or ethical practices
Stronger online presence or visibility
Better user experience on website
Content-driven strategy
Exclusive products or limited editions
Better reviews and reputation
More responsive support
Community involvement or social impact
Easier ordering or booking process
Loyalty or rewards programs
Free trials or flexible contracts
Other
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Do you already have a logo, brand guide, photos, and web content?
Yes
we have everythingWe have some of itNo
we don’t have any of itWe’ll need help with everythingNot sure
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Can you tell me about your business, what you do, and who you serve?
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What services do you offer or products do you sell, and what does each one do? You can also mention anything you plan to offer in the future.
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What challenges are you facing with your current website or digital presence?
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What are your main goals for your online presence? (e.g., more leads, stronger branding, eCommerce, etc.)
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How do you visualize your ideal website in terms of layout, style, or personality?
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Paste links to websites you like and tell us what you admire about them (layout, colors, features, etc.).
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Who are your ideal customers or clients? Describe their demographics, interests, or industries.
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What specific functions or features are most important to include? (e.g., contact forms, booking, eCommerce, galleries, etc.)
What web pages do you require on your website?
About page
Blog
Careers page
Company history page
Contact
Cookie policy page
Custom 404 page
Events page
Faq page
Forum
Homepage
Landing pages
Menu page
Portfolio/gallery page
Privacy policy page
Product pages (e commerce)
Product pages (non-e commerce)
Request quote/consultation page
Search page
Services page
Services
individualized pages
Team member bio pages
Terms & conditions page
Testimonials page
Other pages not mentioned
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Does your company need branding or do you want to rebrand?
Yes
No
Do you need ongoing website management?
Yes
No
Not sure
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Is this project time-sensitive?
Yes – tied to an event or campaign
Yes – launching a new product or service
Yes – we’ve delayed this too long already
No – timeline is flexible
Not sure
Do you have a specific date you need this project completed by?
Any files you want to include can be uploaded here
Submit