HOME Payment Center Request a Quote
3133 Van Horn Road
Trenton, MI 48183
B: 734.934.6900
F: 866.571.0417
linda@dotcomwp.com
Support Ticket

WEBSITE WORKSHEET

In order to customize your website, we need a little help from you.  Please fill out the fields completely below.  If you have any questions, please be sure to let us know.

Your First Name
Field is required!
Field is required!
Your Last Name
Field is required!
Field is required!
Your Company Name
Field is required!
Field is required!
Your Email Address
Field is required!
Field is required!
Your Phone Number
Field is required!
Field is required!
How did you hear about us?
Check all that apply.
Field is required!
Field is required!
* If referral, who may we thank?
Person or company
Field is required!
Field is required!
Do you have a website now?
Field is required!
Field is required!
If so, what is the URL?
URL
Field is required!
Field is required!
If you have a website, are you able to acquire your login credentials?
Field is required!
Field is required!
In the box below, indicate your goals associated with getting a new website.
Example: To sell products, promote services, enhance marketing, etc.
Field is required!
Field is required!
If you currently have a website, what do you want to see changed/fixed with a new site?
In other words, what is wrong with your current website? What should be corrected?
Field is required!
Field is required!
On a scale of 1-10, how do you rate your technical experience in terms of online technology?
  • - select option -
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
- select option -
Field is required!
Field is required!
Briefly describe what your company does.
Field is required!
Field is required!
What year did you start your business?
Field is required!
Field is required!
Name 3 specialties that your company does.
i.e., Serve Mexican food, tax preparation, sell real estate, etc.
Field is required!
Field is required!
Do you now or do you want to sell items online (ecommerce)?
Field is required!
Field is required!
Do you have a Google+ account?
Field is required!
Field is required!
Do you use Google Analytics?
Field is required!
Field is required!
On a scale of 1-10, how important is it for you to be found on Google?
  • - select option -
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
- select option -
Field is required!
Field is required!
Have you had any experience with Google products such as Analytics, Adwords, etc?
Field is required!
Field is required!
Have you had any experience at all with Search Engine Optimization?
Field is required!
Field is required!
Do you have a logo?
Field is required!
Field is required!
Do you use Social Media? If so, please provide links to your social media below.
Field is required!
Field is required!
  • - select one -
  • Facebook
  • Instagram
  • LinkedIn
  • Twitter
  • Other
- select one -
Field is required!
Field is required!
http://
Field is required!
Field is required!
CLICK THE GREEN PLUS SIGN (+) ON THE FAR RIGHT TO ADD ADDITIONAL SOCIAL MEDIA LINKS
------------------------------------------------------------------------------------------------------------------------------>
Field is required!
Field is required!
What is your approximate budget?
  • - select option -
  • Under $1,000
  • $1,000 to $2,000
  • $2,000 to $3,000
  • $3,000 to $4,500
  • $4,500 to $6,000
  • Over $6,000
- select option -
Field is required!
Field is required!
RFQ or Requirements
If you have written requirements, please feel free to upload here.
Upload your documents...
Field is required!
Field is required!
Submit