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DESIGN & DELIVER
NEED A WEBSITE OR BLOG?
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* Indicates required question
Email
*
Your email
What is the name of your business and how long have you been in business?
*
Your answer
What industry are you in?
*
Your answer
Who is your perfect client?
*
Male
Female
Youth
Teen
Young Adult
35+
55+
70+
Corporation
Organization
Required
In what capacity do you serve your client?
*
Business to Business
Business to Customer
Both: B2B & B2C
Do you currently have a website or blog? If "YES" what is your websites URL?
*
Your answer
What would you like your website to do?
*
Show-case my talent.
Tell people how to hire me.
Educate others about a cause.
Educate others about a product.
Educate others about a service.
Sell online.
To act as a calling card and centralized link to Social Media.
Someone told me that I needed a website for my business.
Collect email subscriptions.
Required
Have you ever paid for web services before?
*
Yes
No
What was your experience?
*
Positive
Negative
Didn't notice, just glad I had it done.
Is there anything else we should know about your website?
Your answer
When is a good time to contact you?
Time
:
AM
PM
When did you complete this form? (We use this for our files so we can respond in a timely manner.)
*
MM
/
DD
/
YYYY
Send me a copy of my responses.
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