Website Design Survey
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Web Design Survey
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First Name
Last Name
Business Email
Phone/Mobile
What's the name of your business?
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Does
have a physical location?
Yes
No, we're remote
Address Line 1
Address Line 2
City
State
Zip Code
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Tell us about
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What makes
stand out from its competition?
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Are you running any special promotions or offers?
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What are some of your favorite websites?
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What colors do you want for your website?
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Do you already have a domain name registered?
Yes
No
What company is your domain registered to?
What's the domain name?
What domain name do you want for you website?
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Upload your logo if you have one
Choose File
Link your social media accounts if you have any
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