General Website Questionnaire

Fields with an asterisk (*) are required. Please read everything very carefully. If you have questions before you get started, fill out the contact form here.

Your project: *

New website
WordPress website redesign

About you

First name *

Last name *

Email *

Phone

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Your address WILL NOT appear on your website. For internal use only.

Upload your headshot

5x7” at 300 dpi (1500 x 2100 pixels)

Need help? Click here to find out how to take a great headshot. Opens in new window so you don't lose your form.

Your bio *

Need help? Click here to find out how to write a compelling bio. Opens in new window so you don't lose your form.

Social media

Facebook

Your Facebook author page's URL looks like the placeholder URL above. Type over it.

Twitter

Your Twitter page's URL looks like the placeholder URL above. Type over it.

Your Pinterest page's URL looks like the placeholder URL above. Type over it.

Instagram

Your Instagram page's URL looks like the placeholder URL above. Type over it.

YouTube

Your YouTube page's URL looks like the placeholder URL above. Type over it.

Other social networks

Add up to 5 others, 1 URL per line

If you have a blog that's hosted elsewhere and you want to keep it there, enter the URL below.

Do you have an email marketing account (such as MailChimp or Aweber)? *

Yes
No

Would you like an email capture linked to your email marketing account? *

Yes
No

Upload a document with your email marketing account login information. *

Domain and hosting information

Have you already registered your domain name? *

Yes
No

Domain name *

Would you rather *

Register it yourself
Let us do it for you

What domain name(s) would you like to use (if available)? *

Choose up to 5, one per line

Have you purchased website hosting? *

Yes
No

What company is your hosting provider? *

Please upload a document with your hosting account's username and password, and your WordPress site's username and password *

Would you rather *

Purchase website hosting and set it up yourself
Let us do it for you

If you'd like email address(es) associated with your domain (i.e., [email protected]), check the appropriate box(es) below.

Some clients like to have emails that appear to go to a whole staff of people but really come to them. Check all that apply,

Email addresses not listed above you'd like added to your account *

Depending on the number of email addresses your hosting account provides, we'll pare down the list if need be. Enter up to 5, one per line.

Your website

Pages you'd like to have *

About
Contact
Blog
Podcast

Check all that apply

Other pages you'd like to have

List them, one per line

Do you prefer a one-page layout or multi-page? *

One-page
Multi-page
No preference

The BrainStormes Creative site is an example of a "one-page" design--with multiple sections but with subpages. Go to http://AmandaDeich.com to see an example of the "multi-page" design.

Do you have existing logo/business cards/printed material that needs to be matched to the site? *

Yes
No

Any images other than your headshot need to be uploaded to Google Drive or Dropbox and share the folder with us at [email protected]

Do you have a color scheme in mind? If so, enter the hexidecimal color codes below.

For hexidecimal color codes, visit https://www.w3schools.com/colors/colors_picker.asp.

Captcha *

=

TERMS: By submitting this form, you agree to the following terms: 1. Half the full amount of the agreed-upon service will be paid before work begins on your project. 2. The balance is due upon completion of the service. 3. You will not have access to the project until the balance is paid in full. 4. One round of website design "tweaks" is included in the full price. 5. Any additional changes will incur charges of $75 per hour.

Acceptance of terms *

I have read and accept the terms.

Have a discount code? Enter it below.

This is a long form, so it will take a while to upload. Don't hit the back button on your browser or navigate away from the page until it finishes uploading and you get the success message.