New Website Questionnaire Fill in and submit the form and we’ll be in touch! Company/Organization Name * Full Name * First Name Last Name Email * Phone * (###) ### #### Do you have an existing website? (If yes, please provide the URL) * What are your main goals for the new website? * Are there any specific features or functionalities you would like to have on your website? * Examples: Scheduling, Messaging, link to specific CRM or applications Will you require e-commerce features on your site? (May require additional info for pricing) * Online Ordering Shipping Options (USPS, Fed Ex, UPS, etc.) In Store Pickup Local Delivery Other... What is your estimated budget for the website project? * $ Do you have a specific timeline or deadline for the website launch? * MM DD YYYY Will you be providing the content for the website (text, images, videos, etc.) or would you like assistance with content creation? * I will provide text I will provide images I will provide video I need Coxswain Media to help with creating content Other... Please provide the url (website address) of websites you like so we can get an idea of your design preference. * Please let us know any other aesthetic features you would like in your site. * Website Purpose: * Target Audience: * Desired Domain Name (if known): * Do you own the Domain Name above? * Yes No Do you have or will you need Hosting Services? * Yes, I will need Hosting Services No, I already have Hosting Services If you have Hosting, who is your provider? * Will you need email account setup services? * Yes No, I will manage email accounts Do you have a physical store location that we will drive traffic to? * Yes, one location Yes, more than one location No, looking for web traffic only Other... Please provide any additional comments or requirements you would like to mention. * Thank you! We will contact you soon!
