Questionnaire | Only Insurance Sites

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How did you originally hear about us?
If Referral/Other, please specify
Why did you buy from us?
- Price
- Timing
- Designs
- SEO
- Other
If Other, please specify
Identity
Full Name
Business Name
Email*
Email (2)
Contact Name
Alt Contact
Business Phone (1)
Business Phone (2)
What is most important to you regarding the website?
Industry
What is your industry?
Describe your company in one sentence.
Company slogan?
Who are your clients?
What is your company's competitive advantage
Who are your top 3 competitors? Please list their website address as well.
Competitor A
Website
Competitor B
Website
Competitor C
Website
Style/Design

Critical step: Please list up to 5 of your favorite websites and why you like them.
Website Address One
Positive Attributes
Website Address Two
Positive Attributes
Website Address Three
Positive Attributes
Website Address Four
Positive Attributes
Website Address Five
Positive Attributes
Do you have a logo?
Do you have a live website?
What do you like about it?
Preferences
Graphics
Photos
Search Engine Optimization
How important is high ranking on Google, Yahoo and the other search engines?
How many visitors do you currently have visiting your website each month?
How many clients do you want to visit your website monthly?
Have you ever paid for search engine optimization before?
Do you need to be able to change the content of your website?
Hosting/Registrar Information

It is important that we host your website to maintain functionality of the website. Hosting is included in your website design package. Please fill out the information below so we can expedite the process of building your website.
Name of the company you registered your domain name with
Registrar Username and Password
Username
Password
Please list all email accounts with this domain
Questions or comments on hosting
Special Instructions

Engage & Experience

Use the form below to contact us. We look forward to learning more about you, your organization, and how we can help you achieve even greater success.

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Identity

Industry

Style/Design

Search Engine Optimization

Hosting/Registrar Information

Special Instructions

Engage & Experience