Greetings!

This survey will help me gather the necessary information about you and your business in order to better understand your needs. Please complete as much information as you can. Thank you!

Step 1 of 5 - Personal Information

20%

Name*
First Name Last Name
Email Address*
Phone Number

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Business Name*
Industry
Website Address (if you have already one)
Number of Employees

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Please check any and all services you may need.*
- Website
- Web Application
- Domain Name
- Web Hosting
- Site Maintenance/Updates
- Email Hosting (for your domain)
- eCommerce
- Donations
- Collection/Storage of Private Customer Information
- Mobile App
- Desktop App
- Integration with a 3rd Party (Like MailChimp or InfusionSoft)
- Logo/Branding
- Marketing Materials (Print)
- Social Network Promotion
- Content/Copywriting
- Photography
- Other (Please Specify)
Other Services Needed
Please describe any services you may need not listed above.

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Do you currently have a logo?*
- Yes
- No
Can you please upload your logo?
Max. file size: 2 MB.
Is there a website that can be used as inspiration when considering design for your project?*
- Yes
- No
Please list any/all websites you find appealing and would like your site to resemble.
What is your budget?
What are your goals for this project?
Describe the audience you are trying to reach.

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How did you hear about me?*
- Google Search
- Friend
- Colleague
- WordCamp
- Saw some of your work.
- GitHub/BitBucket
- Slack
- Word-of-Mouth
- Other
What search terms did you use?
Do you mind sharing your friend's name?
Do you mind sharing your colleague's name?
Which WordCamp?
Where did you see it?
Which Server/Channel?
Please tell me how you heard about me.
Privacy*
- By using this form you agree with the storage and handling of your data by this website.
Phone
This field is for validation purposes and should be left unchanged.

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