Website Questionnaire Prior to starting work on your project, please fill out this questionnaire to the best of your ability. 1 Your Information2 About Your Website Name of Company or Individual*Full name of company or First Name & Last Name of individualPrimary Contact* First Last Email* Enter Email Confirm Email Phone*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 GrenadinesSaint MartinSamoaSan 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 Desired Domain Name for New Website*Do you have a website currently? (please provide a url)*Your mission/vision statement or a tagline for your business or organizationWhat services or products do you offer?*What elements do you think you may want on your home page?*(banner, logo, mission statement, slider images, featured articles, etc. If not sure, please indicate)Are there any elements that you feel need to be on every page of your website?*List other websites whose design/look you like. If none, write none.*List any color preferences here. If none, write none.*What about your logo?*Yes, I have a logo to be used on this website.Yes, I have a logo but it may need to be updated for use on this new website.No, I do not currently have a logo and would like one.No, I do not currently have a logo, do I really need one?Do you have high quality professional images you want to use for your website*(Please indicate if you have images for use in the development of the site or if we need to provide images as necessary. We will need digital versions sent by email or Drop Box or you may need us to help you find good stock photography - the cost for stock images will be added to the project.)Do you need any special functionality (that you desire or are aware of)?*What pages do you want on your website at this stage in your planning?*(home, about, blog, contact, registration, events, etc…)Anything else you want to tell us?*CaptchaPhoneThis field is for validation purposes and should be left unchanged.