General Website Questionnaire

Fields with an asterisk (*) are required. Please read everything very carefully. Before you fill this out, go here for a list of the items you'll need to gather to complete the form. If you have any questions before you get started, email [email protected]

About you/your business, group, or organization

Name of person filling out this form *

First

Last

Email *

This will not be published on your site. For internal use only.

Cell phone number *

This will not be published on your site. For internal use only.

Company/group/organization name *

Would you like your physical address published on your site? *

Yes
No

Physical address

Address Line 1

Address Line 2

City

State

Zip Code

Would you like your contact phone number published on your site? *

Yes
No

It's perfectly okay to only offer an email address for customers/clients/users to contact you.

Contact phone number *

General contact email

If we're setting up email addresses with your new domain, you can leave this blank. Below are questions where you can indicate what new email addresses you'd like.

Do you have a publicist or PR agency you'd like to list for media inquiries? *

Yes
No

Publicist's/PR rep's name *

First

Last

Publicity or PR firm name *

Publicist's/PR rep's email *

Social media

Do you have any social media accounts (Facebook, Twitter, etc.) *

Yes
No

Check the accounts you have below. *

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.

Instagram *

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

Pinterest *

Your Pinterest 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

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

Yes
No

Would you like a form on your website where visitors can enter their email address that links to your email marketing account? *

Yes
No

When we log in to your email marketing account, your provider will want us to either supply a verification code or answer a security question. If the security question option is unavailable, you will need to forward the email containing the verification code to us at [email protected]

Email marketing company name (i.e., MailChimp) *

Username *

Password *

Your Mailchimp security question answer(s) *

Do you send out an e-newsletter? *

Yes
No

Would you like to add a "subscribe to my newsletter" form to your site? *

Yes
No

Domain and hosting information

Have you registered your domain name? *

Yes
No

Don't worry if you haven't. We'll do it for you. Below you'll find a secure field in which to enter your credit card info.

Domain name *

Have you purchased website hosting? *

Yes
No

Again, don't worry if you haven't. We will do it for you. Below you'll find a secure field in which to enter your credit card info.

Did you register your domain and purchase hosting at the same company? *

Yes
No

Domain registrar company *

Username at registrar company *

Password at registrar company *

When we log in to your account, your provider will want us to supply a verification code. You will need to forward the email containing the verification code to us at [email protected]

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

Choose up to 5 options, one per line

Hosting company *

Hosting company username *

Hosting company password *

Your information is safe and secure on this site. But if you prefer not to enter it here, call 720-289-8139 and leave a voicemail with this information, and fill out the name field with BY PHONE and put gibberish in the other fields.

Name on the credit card *

First

Middle

Last

If there's no middle name or middle initial on your card, type N/A in the middle field.

Billing address *

Address Line 1

Address Line 2

City

State

Zip Code

Credit card number *

Expiration date *

CVV number on the back of the card *

Email addresses associated with your website

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 preferences

Not sure of the look you want for your website? Google websites in your industry, look them over, and provide URLs to the ones you like the look of in the box below, one per line. If you have any design preferences for your site, list those in this box too. If you have no preferences, you may leave the field blank.

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

One-page
Multi-page
No preference

SiPraTech's site is an example of a "one-page" design--with multiple sections on one page. The Filling Station's site is an example of the "multi-page" design.

Pages/sections you'd like to have *

Check all that apply

Additional pages/sections you'd like not listed above

List them, one per line

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

Yes
No

Upload an image of the material to match below.

Click or drag files to this area to upload. You can upload up to 5 files.

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

For hexidecimal color codes, click here.

Do you prefer a light or dark color scheme? *

Light
Dark
No preference

The Lively Grind Cafe is an example of a dark color scheme. Thomas Ricke Author is an example of a light color scheme.

Website images

Some personal photos (of you, your family/friends, pets, etc.) draw your potential customers/fans/users in. Websites with quality images are better than plain-text sites. For high-quality, free images (that don't violate copyright law and are completely royalty-free), we recommend you visit https://unsplash.com. Pick out at least 10 images that suit your ideal website's tone, atmosphere, and/or desired color scheme. Choose about 2/3 landscape (horizontal) and 1/3 portrait (vertical). You can either download the images yourself and upload them to Dropbox or Google Drive and share the link with us, or you can copy each image's URL link. Here's a video of how to do that: https://youtu.be/I46E0RY8ErY

Upload your headshot/logo/group shot

Click or drag files to this area to upload. You can upload up to 30 files.

5x7” at 300 dpi (1500 x 2100 pixels) or 7x5" at 300 dpi (2100 x 1500 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.

Upload personal/corporate/group photos here

Click or drag files to this area to upload. You can upload up to 30 files.

Upload accent photos here (from Unsplash.com, for example)

Click or drag files to this area to upload. You can upload up to 30 files.

Other images for your site

If you've copied the URLs for any unsplash photos, copy them above, one per line

Website Content

Your bio, mission statement, and/or corporate info *

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

Text for your pages/sections

Click or drag files to this area to upload. You can upload up to 6 files.

Upload documents here with content for your pages/sections.

Have any reviews or your business/group/organization you'd like posted on your website? *

Yes
No

Copy and paste any reviews in the box below. If they're already published elsewhere, provide the URL so we can copy and paste them into the new site. *

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. (If you do so by accident, the answers you've already provided will be saved and you can come back to the form to finish.)