Website/Landing Page Design & Development Questionnaire

29Eleven Media LLC Website/Landing Page Design Form
Full Name

First NameLast Name
Business Name:
Address to show on website

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number to show on website

Area CodePhone Number
E-mail to show on website
Social Media Handles

Please add if you have not already done so on the New Client Questionnaire
Facebook Username
Twitter Username
Instagram Username
YouTube Username
Threads Username
TikTok Username
If you have an office on Google maps, please include your Google API and we will include a link/image so people can click on it and find you on google maps.
Does your company have a logo? If so, please attach below:

Upload a File

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Please write your mission statement or organization slogan, if you have one:
Do you or your company have any licenses, memberships or affiliations that you'd like to highlight on your website?
Who is your target audience/customer? (Age, gender, interests)
Consider other websites that you have come across in your time online. List the web address and some features you liked/disliked on the site for consideration for your website.
Website #1 URL
What feature(s) do you like about this site?
What feature(s) do you dislike about this site?
Website #2 URL
What feature(s) do you like about this site?
What feature(s) do you dislike about this site?
Website #3 URL
What feature(s) do you like about this site
What feature(s) do you dislike about this site
Add more here if necessary
- When is your goal launch date for your website?
  
  MonthDayYear
- Budget Allocation for Project:
- Have you already registered a domain name? If so, what is it and what company did you use to register?
- If you currently have a website, why are you designing/upgrading? What would you like to see/change/improve?
- Do you plan to maintain and update your site yourself?
- Will you require training?
- Will you be hosting with us? If you will NOT be hosting your site with us, what is the URL of the hosting company? (E.g. GoDaddy, Hostgator, Siteground, etc.). If you don't have a hosting site, please consider 29ElevenMediaSolutions.com, a reseller for GoDaddy.
- What is the purpose of your website? Check all that apply:
- Please provide us with a quick layout for your site (sitemap) or upload a document with this information. (This should include all sections and subsections of your web site. An example is laid down below.)  Home  About Us  Products o Product Category 1 o Product Category 2  Our team o Sub-Link1 o Sub-Link2 Contact Us  Privacy  Terms & Conditions (FOR LANDING PAGES, ONLY THE HOME PAGE WILL BE AVAILABLE) If you don't have an idea in mind, we will work with you to develop it.
- Upload documents here
  
  Browse Files
  
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- Upload documents here
  
  Browse Files
  
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- Upload documents here
  
  Browse Files
  
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- Upload documents here
  
  Browse Files
  
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- What are your color preferences? Please mention 3 colors of your choice:
- When people visit your website, what would you want them to do? Please check all that apply.
  
  Other
- Would you like an intro page before the homepage (gateway page)?
- Do you have any preferences as far as images for your homepage? If so, upload below. Images must be your personal photos or licensed images. If licensed images are needed, please let us know. If more than 4 are needed, please upload to either Asana project or Dropbox link provided to you.
- Upload Image
  
  Browse Files
  
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- Upload Image
  
  Browse Files
  
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- Upload Image
  
  Browse Files
  
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- Upload Image
  
  Browse Files
  
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- Do you have any additional text/content for the homepage?
- Or upload a file here
  
  Browse Files
  
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- Please submit any other information pertaining to your site below.
- Or upload file here
  
  Browse Files
  
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- Or upload file here
  
  Browse Files
  
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- Or upload file here
  
  Browse Files
  
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- ABOUT PAGE: Tell your readers about yourself (or yourselves). Where are you from? Where have you studied? Why are you passionate about this particular field of work? This is basically your resume in paragraph form. If you can only provide a copy of your resume, we can write it in paragraph form, but please include any interests, hobbies, etc. so we can round it with a personal tone.
- EVENT CALENDAR: Any upcoming events.
- Flyer/File Upload
  
  Browse Files
  
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- Flyer/File Upload
  
  Browse Files
  
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- Flyer/File Upload
  
  Browse Files
  
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- TESTIMONIALS PAGE: Please include any testimonials here. No other text necessary.
- File Upload
  
  Browse Files
  
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- Please select any of the following additional features you would like:
- How will you be accepting payment through your website? Please check all that apply.
- Please select real-time credit card processing options:
- Will there be a shipping option on your site? If yes, please select from the following:
- Are there any additional features you wish to add which have not been mentioned above? Please mention here:
- Thank you for your time and information!
  
  You will be redirected to our calendar to schedule your
  
  FREE 60 MINUTE CONSULTATION
  
  If this has already been completed, you can skip this step
- Should be Empty:

29Eleven Media LLC Website/Landing Page Design Form

Social Media Handles