Name Company Name Email Address Please enter your Website URL Message Why do you want to have a new website, or a redesign? What will happen if you don’t have a new website, or have your current site redesigned? What is the average number of daily clicks your site currently receives? Are you using Google Analytics to track your site's performance? Are you using Google Analytics to track your site's performance? Yes No Please describe your organization in a few sentences. What is there about you and your background that sets you apart for a special (niche) group of potential customers? Project Manager Street Address Street Address 2 City State ZIP Office Phone Cell Phone What problems do your prospects have that your business solves? How can your particular work background help prospects, compared to others in your industry? What’s special about your work experience? Why do you believe site visitors should do business with you rather than with a competitor? Do you have a slogan or tagline that clearly describes what you offer in terms of benefits or features? Please describe your potential customers. What is your budget for this project? What is your budget for this project?$1,000 to $1,499$1,499 to $1,999$2,000 to $2,999$3,000 to $3,999$4,000 to $4,999$5,000 to $10,000Over $10,000 Who are the decision makers on this project? What is the turnaround time for making a decision? What staff will be involved? What are their roles? Is there a webmaster on your staff? What is your deadline for completing the site? Please list the names of five other sites that you like. Why are they attractive to you? Have you researched your online competition so you have an idea of what you do and don’t want on your site? Where is the website content coming from? Who’s responsible for updating it? Is it ready for use on your website? Do you have a logo? Are you planning to do online sales? If so, what is the product, and how many items do you want to sell online? If you’re planning to sell online, are you set up to accept credit cards? If you’re planning to sell online, are you set up to accept credit cards? Yes No How much time will you be able to spend online, responding to inquiries that come in via your website? Once a day? Several hours a day? How much time will you be able to spend online, responding to inquiries that come in via your website? Once a day? Several hours a day? Once a day Once a week Once a month 1 hour per session More than 1 hour per session If you were using a search engine, what words or phrases would you use to find your site? Which of these words or phrases is most important? Second? Third? Other than what search engines will produce, what methods do you have in mind to spread the word about your website? Once your website is completed, how long do you think it will be before you begin bringing in significant business from the website? How do you plan to encourage repeat visitors and referrals? Do you have a corporate facebook site? What is it? Corporate YouTube Site Hosting Company (GoDaddy or American Hosting Guys preferred) Login Password PIN Number 2 + 2 = SEND TO CHICAGO MEDIA GUYS!