Web Site Questionaire
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Form Subject Line
Subject
General Information
Company Name
First Name, Last Name
Address 1
Address 2
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
NewHampshire
NewJersey
NewMexico
NewYork
NorthCarolina
NorthDakota
Ohio
Oklahoma
Oregon
Pennsylvania
RhodeIsland
SouthCarolina
SouthDakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
WestVirginia
Wisconsin
Wyoming
Zip Code
Country
UNITED STATES
GERMANY
UNITED KINGDOM
---------------------------
AFGHANISTAN
ÅLAND ISLANDS
ALBANIA
ALGERIA
AMERICAN SAMOA
ANDORRA
ANGOLA
ANGUILLA
ANTARCTICA
ANTIGUA AND BARBUDA
ARGENTINA
ARMENIA
ARUBA
AUSTRALIA
AUSTRIA
AZERBAIJAN
BAHAMAS
BAHRAIN
BANGLADESH
BARBADOS
BELARUS
BELGIUM
BELIZE
BENIN
BERMUDA
BHUTAN
BOLIVIA, PLURINATIONAL STATE OF
BOSNIA AND HERZEGOVINA
BOTSWANA
BOUVET ISLAND
BRAZIL
BRITISH INDIAN OCEAN TERRITORY
BRUNEI DARUSSALAM
BULGARIA
BURKINA FASO
BURUNDI
CAMBODIA
CAMEROON
CANADA
CAPE VERDE
CAYMAN ISLANDS
CENTRAL AFRICAN REPUBLIC
CHAD
CHILE
CHINA
CHRISTMAS ISLAND
COCOS (KEELING) ISLANDS
COLOMBIA
COMOROS
CONGO
CONGO, THE DEMOCRATIC REPUBLIC OF THE
COOK ISLANDS
COSTA RICA
CÔTE D'IVOIRE
CROATIA
CUBA
CYPRUS
CZECH REPUBLIC
DENMARK
DJIBOUTI
DOMINICA
DOMINICAN REPUBLIC
ECUADOR
EGYPT
EL SALVADOR
EQUATORIAL GUINEA
ERITREA
ESTONIA
ETHIOPIA
FALKLAND ISLANDS (MALVINAS)
FAROE ISLANDS
FIJI
FINLAND
FRANCE
FRENCH GUIANA
FRENCH POLYNESIA
FRENCH SOUTHERN TERRITORIES
GABON
GAMBIA
GEORGIA
GHANA
GIBRALTAR
GREECE
GREENLAND
GRENADA
GUADELOUPE
GUAM
GUATEMALA
GUERNSEY
GUINEA
GUINEA-BISSAU
GUYANA
HAITI
HEARD ISLAND AND MCDONALD ISLANDS
HOLY SEE (VATICAN CITY STATE)
HONDURAS
HONG KONG
HUNGARY
ICELAND
INDIA
INDONESIA
IRAN, ISLAMIC REPUBLIC OF
IRAQ
IRELAND
ISLE OF MAN
ISRAEL
ITALY
JAMAICA
JAPAN
JERSEY
JORDAN
KAZAKHSTAN
KENYA
KIRIBATI
KOREA, DEMOCRATIC PEOPLE'S REPUBLIC OF
KOREA, REPUBLIC OF
KUWAIT
KYRGYZSTAN
LAO PEOPLE'S DEMOCRATIC REPUBLIC
LATVIA
LEBANON
LESOTHO
LIBERIA
LIBYAN ARAB JAMAHIRIYA
LIECHTENSTEIN
LITHUANIA
LUXEMBOURG
MACAO
MACEDONIA, THE FORMER YUGOSLAV REPUBLIC OF
MADAGASCAR
MALAWI
MALAYSIA
MALDIVES
MALI
MALTA
MARSHALL ISLANDS
MARTINIQUE
MAURITANIA
MAURITIUS
MAYOTTE
MEXICO
MICRONESIA, FEDERATED STATES OF
MOLDOVA, REPUBLIC OF
MONACO
MONGOLIA
MONTENEGRO
MONTSERRAT
MOROCCO
MOZAMBIQUE
MYANMAR
NAMIBIA
NAURU
NEPAL
NETHERLANDS
NETHERLANDS ANTILLES
NEW CALEDONIA
NEW ZEALAND
NICARAGUA
NIGER
NIGERIA
NIUE
NORFOLK ISLAND
NORTHERN MARIANA ISLANDS
NORWAY
OMAN
PAKISTAN
PALAU
PALESTINIAN TERRITORY, OCCUPIED
PANAMA
PAPUA NEW GUINEA
PARAGUAY
PERU
PHILIPPINES
PITCAIRN
POLAND
PORTUGAL
PUERTO RICO
QATAR
RÉUNION
ROMANIA
RUSSIAN FEDERATION
RWANDA
SAINT BARTHÉLEMY
SAINT HELENA
SAINT KITTS AND NEVIS
SAINT LUCIA
SAINT MARTIN
SAINT PIERRE AND MIQUELON
SAINT VINCENT AND THE GRENADINES
SAMOA
SAN MARINO
SAO TOME AND PRINCIPE
SAUDI ARABIA
SENEGAL
SERBIA
SEYCHELLES
SIERRA LEONE
SINGAPORE
SLOVAKIA
SLOVENIA
SOLOMON ISLANDS
SOMALIA
SOUTH AFRICA
SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS
SPAIN
SRI LANKA
SUDAN
SURINAME
SVALBARD AND JAN MAYEN
SWAZILAND
SWEDEN
SWITZERLAND
SYRIAN ARAB REPUBLIC
TAIWAN, PROVINCE OF CHINA
TAJIKISTAN
TANZANIA, UNITED REPUBLIC OF
THAILAND
TIMOR-LESTE
TOGO
TOKELAU
TONGA
TRINIDAD AND TOBAGO
TUNISIA
TURKEY
TURKMENISTAN
TURKS AND CAICOS ISLANDS
TUVALU
UGANDA
UKRAINE
UNITED ARAB EMIRATES
UNITED STATES MINOR OUTLYING ISLANDS
URUGUAY
UZBEKISTAN
VANUATU
VENEZUELA, BOLIVARIAN REPUBLIC OF
VIET NAM
VIRGIN ISLANDS, BRITISH
VIRGIN ISLANDS, U.S.
WALLIS AND FUTUNA
WESTERN SAHARA
YEMEN
ZAMBIA
ZIMBABWE
Phone
Email
Company Logo
Do you have a company logo?
Yes
No
Do you have a digital file of your company logo?
Yes
No
Company Colors
Color1
Color2
Color3
Color4
Color5
General Company Information
Date of Formation
Names of Founders
Number of Employees at time of formation
Number of Employees today
Do you have pictures from the time of Formation?
Yes
No
Do you have digital copies of those pictures?
Yes
No
Domain Name / Web Address
Do you already have a domain name?
Yes
No
if Yes, ...
What is the name of your Web Hosting provider?
domain name 1
domain name 2
domain name 3
domain name 4
domain name 5
Which domain is your main domain?
domain 1
domain 2
domain 3
domain 4
domain 5
Do you want the other domains forwarded to your main domain?
Yes
No
if No, ...
I want to register following domain name:
Please register these additional Top-Level-Domains:
.com
.eu
.info
.net
.org
.us
.de
.biz
other
if other, ...
Alternative domain name, if requested domain is not available:
Alternative domain name 1
Alternative domain name 2
Alternative domain name 3
I want FnC Busniness Solutions to register the domain/hosting for me and charge me a monthly fee:
Yes
No
FTP-Login
FTP-Server-Username
FTP-Server-Password
Competition
Do you know your competition on the web?
Yes
No
Competition 1
Competition 2
Competition 3
Competition 4
Competition 5
Web sites you like:
Web site 1
Web site 2
Web site 3
Web site 4
Web site 5
Time line
Do you have specific date when the web site has to be live?
Yes
No
if Yes, let us know the date...
Features of your Website:
Would you like to provide downloadable PDF-files for your customers?
Yes
No
Do you have your information in PDF-files already?
Yes
No
How do you want your web site developed?
Standard HTML/CSS
Flash
Would you like to offer your vistors to be able to leave comments on your web site?
Yes
No
Would you like your web site to be based on a Content-Management-System? (you will be able edit the content and change pictures yourself)
Yes
No
Would you like to have a contact form on your web site?
Yes
No
Would you like to insert animation on your web site?
Yes
No
Would you like to show your pictures in slide shows?
Yes
No
if Yes, how many slide shows?
Are you planning to sell products through your web site?
Yes
No
if Yes, how many products are you planning to sell in your online store?
5
10
20
30
40
50
60
70
80
90
100
200
300
500
1000
>1000
Online-Store Merchant:
Own Merchant Account
PayPal
Would you like us to maintain your web site?
Yes
No
if Yes, ...
Month to Month
1 Year
2 Years
3 Years
Additional Information ( Comments / Ideas / Requests):