Website Assessment Form Step 1 of 4 25% Contact InformationName* First Last Phone*Email* Website/Company DetailsPlease be as concise as you can be. All information that you can provide will help us quote your project.Do you currently have a website?*YesNoWhat type of industry are you in?*What market or demographic are you targeting?Describe your ideal customers:Who is your competition?Do they currently do anything better than you?Are you currently doing any type of marketing?If you are an existing company, how are you currently generating business?How many years have you been in business? Website/Company Details ContinuedCurrent Domain Name?*Domain Name Ideas?*Do you have any ideas for a domain name that you would like?What are your objectives for your new website?*What do you like most about your current website?What features would you like to keep from your current website?What do you like least about your current website?Will you be selling a product or service through your website?*YesNoDo you currently have a merchant account?*YesNoWhich merchant services do you use?*Can you provide written content for your new website?*YesNoWe have content, but we will need content written or edited.Can you provide images or examples for your new website?*YesNoWe have some but will need additional images.Do you have forms that customers will need to fill out online?*YesNoWe only provide PDF copies.How many forms do you anticipate having on your new website?* Final ThoughtsFinal comments or thoughts?Please provide us with any other information that we didn't ask for, as well as comments, or thoughts about your new project.CAPTCHA This iframe contains the logic required to handle Ajax powered Gravity Forms.