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New Website Needs Analysis
Personal Information
Prefix:
Name:
Title:
Company:
Address:
Address 2:
City:
State:
Zip:
Email Address:
Business Phone #:	- -
Cell Phone #:	- -
Industry:
Where did you hear about us?:
If you selected Referral, Who were you referred by?

General Questions
1.What services are you interested in? Check all that apply 1a. If you checked other, describe other.	New website development - Informational New website development – E Commerce New website development – Custom Application Search Engine Marketing - more visitors Email Marketing Campaigns Copywriting Other
2. What are you looking to gain from your website? Check all that apply 2a. If you checked other, describe other.	Credibility Exposure Publicity Brand Identity Brand Awareness Corporate Identity Marketability Productivity Sales Prospects Basic Website Presence Reduce Loss of Business (from not having a good website) Other
3. Ideally, what do you want a visitor to do once on your site? 3a. If you checked other, describe other.	Email you Call you Submit a contact form Make a purchase online Sign up for your enewsletter Download PDFs of information Click on advertising links Log in for special features Save your website as a favorite for future reference Listen to audio file(s) View video file (s) Other
4. What is your timeframe for this project?
5. Where does this project fall on your top 5 priority list? (1 is the highest priority)
Company Questions
6. How old is your company?
7. What is your gross revenue?
8. What is your average yearly growth rate?
9. How many employees do you have?
10. Is your business located in a store oroffice location (not including a home office)?
11. Does your business provide?
12. Is your business?
13. Is your target market?
14. On a scale of 1 to 10 how would you rate the competitiveness of your market? (10 means that you provide a product and/or service that many other businesses provide [ie electrician, restaurant, plumber, computer service technician, promotional products, etc…]. 1 means that your product and/or service is truly unique and you are the only company you know of who provides it.)
15. Are your customers/clients predominantly
16. What is the predominant age group of your customers/clients?
Marketing Questions
17.What other methods of marketing/advertising do you currently do? Check all that apply 17a. If you checked other, describe other.	Newspaper Magazine Direct Mail TV Internet Ads Pay Per Click Brochures Promotional Products Yellow Pages Yellow Book Other
18. Do you have any consultants or coaches for any of the following business? Check all that apply	Management Sales Marketing Public Relations Technology
19. Do you have a logo?
20. On a scale of 1 to 10 how would you rate your company's corporate identity? (10 means that you have a well designed and recognizable logo, all your marketing materials - such as envelopes, business cards, letterhead, email signature, invoices, statements, promotional products, etc - are consistent with name, logo, colors, font type, font size, etc. 1 means that there is no real consistency with your corporate identity materials.)
21. What type of reputation/credibility do you have?
22. Do you want to improve your reputation/credibility?
23. Please add any additional information that you feel maybe helpful in developing your website.
By checking this box and submitting this form, I acknowledge that I have read and I understand the following: You are submitting this form for review by Nortic Consulting, Inc. only. Submitting this form does not establish a business relationship between you and Nortic Consulting, Inc. A business relationship can only be established between you and Nortic Consulting, Inc. upon signing of all required documents. Please remember that no data transmission over the Internet can be guaranteed to be secure.

This analysis is Copywritten by Nortic Consulting, Inc. Any dissemination, distribution or copy of this communication, including to a third party, without the sender's explicit permission is strictly prohibited.

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