Have an idea? Website Design Information Gathering Form for Potential Clients About You First * First Last Last Your Address Your Address Street Address Street Address Address Line 2 Address Line 2 City City State / Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State / Province Zip / Postal Code Zip / Postal Code How Can We Reach You? We would love to chat with you. How can we get in touch? Preferred Method of Contact EmailPhone Your Email Address * Confirm Your Email Address * Your Phone * Best Time to Call You * 9:00 am9:30 am10:00 am10:30 am11:00 am11:30 am12:00 pm12:30 pm1:00 pm1:30 pm2:00 pm2:30 pm3:00 pm3:30 pm4:00 pm4:30 pm5:00 pm5:30 pm6:00 pm Business Information Business Name * Do you currently have a website? * Yes No Website * Do you already have a logo for your business? * Yes No Business Logo * Drop a file here or click to upload Choose File Maximum file size: 26.21MB What do you like about your current website? * What do you dislike about your current website? * New Website Information Is there one or more websites that you like? * Yes No We would look to draw inspiration from them. Websites Click the + on the right to add additional websites. Link What do you like about the website? plus1 Add minus1 Remove Pages you want on your website. Fell free to add as many you you want. Think of pages like: Contact About Us Services Terms and Conditions Privacy Policy Etc Click the + on the right to add additional pages. Pages plus1 Add Page minus1 Remove Page Additional Website Features Online Store (E-Commerce) Responsive Layout (Looks good on all devices) User-Friendly Navigation Event Functionality (Calendar, Ticket Sales, etc.) Appointments/Scheduling System Analytics Tracking Integration with Social Media Blog/News Section Product Catalog Image/Video Gallery Newsletter Subscription Texting Support Search Engine Optimization (SEO) Google Maps Integration Live Chat Support Testimonials/Reviews FAQ Page Pricing/Estimate Request Form Mobile Optimization Multilingual Support Email Marketing CRM Creation Interactive Elements (such as sliders, pop-ups, etc.) Portfolio/Showcase Interactive Maps/Charts Custom 404 Error Page Careers/Jobs Page Press Room/Media Kit Resource Library/Downloads Site Search Client Login/Dashboard Custom Fonts and Iconography Lead Generation Forms Virtual Tours Chatbots Wish List/Favorites Related Products/Services Affiliate Tracking Gift Cards/Vouchers Product Comparison Tables Product Recommendations Customer Reviews and Ratings Product Filtering and Sorting Options Select as many you need. Website Goal Summary * Provide as much detail as you want of what you imagine the outcome of the completed website. Website Content Page Copy * I will supply my own content/content-writer. I need Mile High Ideas to come up with content. Website Media * I will supply my own graphics/graphic-designer. I need Mile High Ideas to come up with graphics. Any files you want to upload. Drop a file here or click to upload Choose File Maximum file size: 26.21MB If you are human, leave this field blank. Submit
