Company Name

First Name

Last Name

Email Address

Best Contact Phone Number

Are you looking for a new website or a website redesign? Are you looking for a new website or a website redesign? New Website Website Redesign

Have you already purchased your domain name? Have you already purchased your domain name? Yes No

What is the web address/domain name?

Would you like assistance in purchasing your domain name? Would you like assistance in purchasing your domain name? Yes No

Do you have a web hosting provider? Do you have a web hosting provider? Yes No

Who is your web hosting provider?

Are you considering switching from your current hosting provider? Are you considering switching from your current hosting provider? Yes No

Would you like assistance in purchasing hosting for your website? Would you like assistance in purchasing hosting for your website? Yes No

What type of business do you want to promote on your website? What type of business do you want to promote on your website? Alternative Health & Healing Services

Do you want customers to be able to purchase your services or products directly from your website? Do you want customers to be able to purchase your services or products directly from your website? Yes No

What website content do you have prepared for your website? What website content do you have prepared for your website? Copywriting/Verbiage Web-Optimized Pictures/Graphics Business Logo Products/Services Price List Staff Pictures and Bios Privacy Policy Terms of Use Policy Main & Accent Colors for Your Business Fonts Used for Your Business None - Starting Completely From Scratch

What is your budget range for your website building project? What is your budget range for your website building project?$500 - $1000$1000 - $2500$2500 - $5000$5000+

Do you have someone who makes sure your WordPress website is properly updated, secured, and maintained? Do you have someone who makes sure your WordPress website is properly updated, secured, and maintained? Yes No

How did you discover Rhythm Tag Media? How did you discover Rhythm Tag Media? Web Search/Google Referral Through Another Website Other