Website Questionnaire Please fill out the following form so we can better understand your website needs. Feel free to give us a wish list, as this form doesn’t commit you to anything. We’ll let you know which functions are built-in and what may cost extra. Contact Information:Company/Organization Name:Name of who we will work with on your website as to design and content.* First Last Email address for this person:* Phone Number:*Design:My ideal website homepage layout is best described as...* A News/Magazine Layout Corporate/Business Layout Medical Services Layout Nonprofit/Organizational Layout Academic Layout Casual/Personal Layout Who is your target audience (demographics)?*How would you like your business to be positioned? What would you like your website to communicate?*What are the key services being delivered?*Do you have any branding (logos, colors, etc) associated with your business?* Yes No Preference as to colors to be used throughout your site:Desired Design Elements/Theme:Are there any visual design elements in particular that you would like to see incorporated into your website? If so, please describe them.Example Site Designs You Like:*Please provide URLs for site designs you like, and what you like about them. Please feel free to mention specific design elements even if you don't like the site as a whole.Functionality and Features:Which Standard Features would you like incorporated into your website design?* Blog Capability Multiple author accounts (for content creation) User comments (shown below posts/pages) Basic Image Gallery Basic Content Slider (Rotates through blog posts) Basic Contact Form (notifies via email if user has a question) Map & Location (embeds a map to your business) Basic Video (embed Youtube, Vimeo videos easily) User Registration (can users make an account on your site) Online Store Which Premium Features would you like incorporated into your website design?* Social Networking “Share” tools (auto-posts to user’s Facebook accounts, etc.) Message Board/Forum Premium Forms for Data Collection Event Calendar Advanced Multimedia Capabilities Membership/Subscription Service Password-Protected Content eCommerce Shopping System Basic Advertising (Google/Bing Campaign capability) Premium Advertising (Custom Ad Server capability) Automated content generation (pulls posts into your blog from an outside source) Premium Site Backup* Check all that apply...and use the following entry box if there is a feature you are interested in that is missing from the above list.*Premium Site Backup backs up your website every week.Other Functionality:If you don't see the feature or functionality that you wish to have on your website listed above, please describe it as best as you can here.Additional ServicesPlease check off all CPS Services that are of interest to you and your business below.Other CPS Services Internet Marketing (Google Ads, Email Campaigns, etc.) Search Engine Optimization - Website Visibility Print Promotion (Brochures, business cards and stationary, signage, etc.) Logo development and Branding Call Center Services for New Patients Δ