Business Name

Contact Person

Phone Number

Email Address

Do you have a target date in mind?

Yes

No

Date

Do you need literature?( business cards, brochures, etc)

Yes

No

What would you like printed?

Approximate quantity?

Would you like our digital consultant to contact you?

Yes

No

What type of website are you looking for?

- Select -ResponsiveEcommerce

How many products are you thinking of selling on your website?

1-10

11-20

21-30

31-40

41-50

51+

Do you have any videos for your site?

Yes

No

Are you supplying the photos for your site?

Yes

No

Are you wanting a form on your contact page?

Yes

No

Are you wanting a Photo Gallery?

Yes

No

Are you wanting a Blog Page?

Yes

No

Please explain the nature of your business?

Do you need hosting for your website?

Yes

No

Do you need a domain name

Yes

No

Would you like your domain name verified with google?

Yes

No

Would you like an SSL installed on your website to protect it?

Yes

No

Would you like the Facebook Pixel installed on your website?( Must have a business Facebook page)

Yes

No

Would you like us to setup a business email for you?

Yes

No

Would you be interested in SEO?(Search Engine Optimization)

Yes

No

How many locations would you like to target?

1

2

3

How Many Keywords would you like us to track?

4

5

7

other

If other, please tell us the amount of keywords

How many days would you like us to track your keywords for?

90

120

150

How many competitor's keywords would you like us to track?

2

4

Would you like an email marketing campaign?

Yes

No

Is there anything else that you would like us to know?

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