Order Number Basic Website Questions For USWebworx to better understand your business and expectations please fill this form out to your best ability. If you don't know how to answer a question skip it. Any field with a * besides it is required First Name * Company Name * Please include if an INC or LLC Email Address * Last Name * Business Type Retail, Informational, Sales,etc.... Phone Number * City & State * Current Domain Name: (www.domain.com) If you don't have one skip it Alternate Phone Number Type of Website: * New Website Re Design Current Site* Add Pages to Current Site* E-Commerce Blog Multiple Selections Allowed 1. Please describe your business in a few sentences 2. Who are the decision makers on this project? What is the turnaround time for making a decision? Do you want Marketing Included in Website Quote? Yes No Site Design & Feel 1. Name 3-5 sites that you would like to model yours after? Or site designs to avoid? Website Budget * $1,000 - $1,599 (Non E-Commerce) $1,600 - $2,999 $3,000 - $4,999 $5,000 - $7,499 $7,500 or more Website Content Questions: 1. Do you have any existing written materials we can start with? Yes No Not Sure Word Files, PDF's, Exisiting Website..... Add anything not covered above Not a Bot
