Website Questionnaire
Please provide your inputs for the following fields.
Name
*
First
Last
Email
*
Phone
*
Business / Brand Details
Please provide your inputs for the following fields.
Company Name (Legal)
Company Name (Branding)
Company Tagline
Your Website URL
(If you have have one already)
Domain Credentials
(If you have a domain account)
Username
Password
Hosting Credentials
(If you have a Hosting account)
Username
Password
Contact person for this project
Name
Phone
Physical Address
Please provide the physical address of the company.
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Réunion
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Primary Contact Number
Please provide the primary contact number that you want your online customers to call you.
Name
Phone
Primary E-mail
Please provide the primary e-mail account that you would like to show in the website.
Email
Social Media Links
Please provide links for all social media accounts of the company here, if you already have. We will provide suggestions for new accounts. Please note that the suggested account names are subject to availability.
Facebook
Twitter
YouTube
Instagram
Linkedin
Google+
Functionalities Required
Please List out all the functionalities needed
(If you are not sure at this stage, it’s okay, we’ll guide you)
Premium Theme Installation
Loading of Basic Content
Setting up Navigation, Menu, Footer
Custom Pop up, Sidebar, Call to Action Bar features
Custom Sales/Landing Page
eCommerce Store Integration
Event/Appointment Calender
Photo Gallery
Blog feature
Video Page
Video/Image Slider
Recent Posts Section
Popular Posts Section
Community Club Page
Landing/Squeeze Page
Payment Gateway Integration
Member Login Area
Custom Logo
SEO Management/Analytics capabilities
Social Media Integration
Mobile Viewing/compatability (Tablet, Android, iPhone)
Additional Information
Who are the key target audience for your Website?
(E.g. Prospective customers, existing customers, partners, etc)
What do you want to persuade your audience to do?
(E.g. To buy something, To sign up for something, To enquire about something, etc)
Website type
(E.g. Brochure, eCommerce, Blog, Photo gallery, Video gallery, Professional service, News site, Community site)
Mood of the website
(E.g. Fun, Classy, Professional, Minimalistic, Graphics heavy, media, etc)
Do you have content ready for your website?
Yes, all content is ready
Some content is ready
Need your help with preparing some of the content
Website Delivery Timeframe
(If you are working towards a target, let us know)
Do you also need ongoing Website Support?
(Covers ongoing support activities such as Addition/deletion/amendment of content, creation of new forms, editing look and feel, loading blog posts/images/videos/articles, minor tweaks to website, regular backups, etc)
Yes
No
May be, haven't decided
Please specify other/special requirements (if any)
Email
This field is for validation purposes and should be left unchanged.
