Initial Questionnaire "*" indicates required fields Contact InformationName* First Last Email* Phone*OrganizationRole / Position / TitleCompany Street Address Street Address Address Line 2 City StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Decision Maker*Are you the decision maker for this project? Yes Yes, as part of a group No Who, from your organization, will be responsible for the following? Reviewing and providing feedback Approving change requests and deliverables Resolving issues Approving the final website Responsible Party's Name*Responsible Party's NameResponsible Party's Email*Responsible Party's Email Responsible Party's Phone*Responsible Party's PhoneProject PurposeSource*How did you hear about us? Referral Google Search Social Media Networking Other Main Problem(s)*What are your biggest headaches with your current situation? Lack of website Decreased sales Poor User experience Outdated content Website builder (difficult to edit pages, products) Other Problem Details*Please describe the problem(s) you are facing in more detail. Are customers complaining about your website? (If so, about what?) Is any functionality not working properly? What do you dislike about your current system?AudienceCustomer Problem*What is the main problem your audience has that you solve?Products and ServicesWhat service(s) or product(s) does your organization provide?Competition & InspirationWho do you consider your main competitors or examples in your industry?Who do you consider your main competitors or examples in your industry? and/or What websites do you strongly like/dislike?Competitor / Example CompanyWebsite Add RemoveCompetitor FunctionsWhat do competitor or inspirational websites have that you want to have or want to avoid?Set ApartWhat sets your organization apart from others?Project DetailsWebsite FunctionsAre there any functions (calendar, registration, etc) that you want on your website?Google/SEODo you need your website to show up on Google ahead of other companies? Yes No Unsure Company FundsAre funds increasing? Decreasing? Increasing Decreasing Static Maintenance*Who will be maintaining your site after it goes live? Me Another person in my organization Lewis Media Group Unsure Website Worth*What is your site worth to you? (Estimated dollar amount - doesn't have to be specific)Do you have a budget for this project?*Do you have a budget for this project? Yes No Unsure Budget*What is your budget for this project?Budget Range*Even if you do not have a set budget, we would like to get an idea of your pricing expectations. Which of the following most resembles what you are expecting? (If the following options do not fit your situation, please click "yes" above and fill in a more accurate budget range.) Less than $3,000 $3,000-$4,999 $5,000-$9,999 $10,000-$19,999 $20,000+ Timeline*What is your timeline for this project?CAPTCHA
