Website Development Questionnaire Please complete this brief survey so that we might be able to provide you with the most accurate estimate possible. Name* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Email* Phone*My website is for a(n) (select the best choice)*Small BusinessInstitutionEntrepreneurNon-ProfitIndividualArtist/Writer/PerformerOtherWhat is your website's main focus/industry?The title of my firm/company/website/etc. is:*Who is the main audience for your website?What are the webpages you require?* About Audio Gallery Blog Calendar Contact Form Customized Forms Directions to Location Discussion Forum Lead Conversion Page Mailing List Subscription News Photo or Video Gallery Portfolio Staff & Bio Testimonials Other (see below) If not listed above, what other kinds of pages do you need? (ex: Menu for restaurant, e-book sales page, section for kids—get specific!)Do you require a hosting service?*YesNoAll our sites are "responsive" (dynamically change layout for tablets & smart phones). Do you require instead a "webapp" version of your site (would function like an application on a mobile phone)?YesNoNot sure at this timeDo you own a domain name?*YesNot yet, but will be acquiring one soonNo, and I need help acquiring oneWhat is your (proposed or actual) domain name?Do you have a logo?YesNo but need help developing oneNo and don't intend to have oneIf you have a logo, please send in a high-resolution oneAccepted file types: jpg, png, svg, psd, orvectorgraphicpreferred.How soon do you need your website to go "live"?Bear in mind, our development cue normally runs 2 months to "roll out."Immediately, if not soonerWithin 2 weeksWithin the monthWithin 2-3 monthsWhenever it can be completedAre there any other details you can share that will help us create the right website for you?