If you are human, leave this field blank.
Section 1 – Business Profile
Business City, State, and Zip Code
Is the address listed above a business or residence?
Business Phone Number
Public Email (To Be Publicly Displayed)
Business Website URL
Business Hours of Operation
Please be detailed, type 24/7 if you are available 24 hours a day 7 days a week
Contact Phone Number
Contact Email (Internal)
Section 2 – Access Information / Hosting / Development
Please provide login access for Domain Register, Hosting (example GoDaddy Login), and CMS Access to your current website (example Wordpress login).
Comments Regarding Hosting Domain Names and Website Editor
Please provide username and password for the following
Google My Business User Name
Or select here to agree that you will add “firstname.lastname@example.org” as an owner in Google My Business
Or select here to agree that you will add “email@example.com” as an admin of your Facebook business page
Or select here to agree that you will add “firstname.lastname@example.org” as a user of your Yelp profile
YouTube Channel Username
Or select here to agree that you will add “Jason Afkhami” as an admin of your LinkedIn business page
Other Social Media Accounts Related to the Business
Section 3 – Marketing Information
Please answer questions below to help us with content development for your website.
Full Company Description/Mission Statement
Specify your payment options (ex. Visa, MasterCard, Cash, Check, etc.)
Please include physical address of each location including street, city, state, and phone number.
Products / Services
Please specify your core services or products in order of priority. Identify if you’d like separate service pages on the website.
What sets you apart from your competitors?
Business Service Awards
Professional Associations, Memberships, Awards & Certificates
List the Associations you would like to include. (ex. AMSA, BBB, and statewide assoc.)
Section 4 – SEO Customer Information
Please skip this section if you are not an SEO Customer
List your top 20 Keywords for Search
Include all the Keywords you think are important. (ex. piano movers, apartment movers, packing supplies)
List Your Top 20 Areas for Geographic Targeting By City:
Section 5 – PPC Customer Information
Please skip this section if you are not a PPC Customer
Detail the times of day and days of the week your phones are monitored/answered.
Products / Services to Promote
Features / Benefits / Special Offers
Geographic Service Areas / Reach
Section 6 – Website Customer Information
Please skip this section if we are not building a new website for you
What Elements / Items do you like from your existing site (If you have one)?
What Elements / Items do you dislike from your existing site (If you have one)?
What is your desired color scheme?
Please list at least three colors in order of prominence. If you know the Hexadecimal codes for your exact shades (ex.#f4923a) please list them
Do you need a Logo?
Can we reuse the content on your existing site?
Do you have any corporate brochures?
Will you be providing us with any graphics?
Can we reuse the graphics on your existing site?
Who will be the primary audience?
Discuss age, location, financial situation, demographics, gender, etc. of your ideal customer.
What are the primary sections of your website?
Please copy and paste links to 3 websites you like. Why did they catch your attention?
Please copy and paste links to 3 competitors websites.
Section 7 – Social Media Customer Information
Please skip this section if you are not a Social Media Customer
What age range is your target audience? (Ex 13-65+)
Should your audience be more male, female or equal?
What geographic area is your preferred audience in?
What language(s) does(do) your desired audience speak?
Education, financial, generation, home ownership, language spoken, family, nationality, relationship, work, etc.
Business and industry, entertainment, food and drink, fitness and wellness, hobbies and activities, fashion, sports, technology, etc.
Automotive, B2B, charitable donations, digital activities, job role, media usage, mobile device user, purchase behavior, travel, etc.
Please copy and paste links to any social media profiles of competitors that you would like us to review.