New Client Questionnaire Official Company Name Business Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Project lead and main point of contact First Last Contact email Contact phoneWhat is the best way to reach the point of contact? Phone Email Text Facebook Check all that applyDescribe your businessWhat are your specific web marketing goals?What is the result you would like to see?What are your products and/or services?Who is your typical customer?What are your online service needs? Branding and/or logo design Website development Security, maintenance, and 24/7 tech support SEO (search engine optimization) Blogging support Email blast support Training sessions Business development consulting Check all that applyWho are your key competitors? (List 2-3 competitor sites)What is the geographic area you wish to target? What challenges have you had with web marketing or your website in the past?Do you have a domain? Yes No Domain name What company is your domain and hosting with? What is your preferred color scheme? Do you have a logo? Yes No Do you have hi-res images or will you need them to be created? Do you have content about your business and services available? Yes No Will you need assistance in writing and editing the content? Yes No What contact action would you like your website users to take? Phone call Email or sign-up form submission Walk-in (storefront) Describe as fully as possible the features you would like to have on your websiteExamples: Accept payments, full e-commerce store, schedulers, accounting features, CRM (customer relations management), email auto-responders, social media integrationDo you plan to manage the upkeep of the website yourself? Yes, I am interested in managing it myself No, I will be wanting managing services I would like a little of both. I am interested in some hand holding while I manage it myself Project target start date MM slash DD slash YYYY project target launch date MM slash DD slash YYYY Social media platforms your company is active on Google+ Facebook Twitter Youtube LinkedIn Pinterest Instagram Other Please define 'other' List 2-3 websites with features, colors, or a look that you likeDescribe what you like on each of the sitesShare any other details you think will help me understand your needs better Δ
