Client Name
Business Name
Address
StateVICNSWQLDSAWATASNTACT
Postcode
Business TypeSole TraderSmall BusinessMedium Sized BusinessLarge BusinessCorporationOther
ABN
Industry SectorAgriculture Forestry and FishingMiningManufacturingElectricityGasWater and Waste ServicesConstructionWholesale TradeRetail TradeAccommodation and Food ServicesTransportPostal and WarehousingInformation Media and TelecommunicationsFinancial and Insurance ServicesRentalHiring and Real Estate ServicesProfessionalScientific and Technical ServicesAdministrative and Support ServicesPublic Administration and SafetyEducation and TrainingHealth Care and Social AssistanceArts and Recreation ServicesOther Services
E-mail
Phone
Mobile
Fax
Website TypeInformationBusinessBrochure/Catalogue StyleEcommerceDirect MarketingBlogOnline Chat/ForumEntertainmentFood/RestaurantPersonalSocial MediaFile/Photo SharingVideo/MusicMobile Device/AppOther
Target Audience Existing CustomersNew Customers/UsersMalesFemalesBoth Males/FemalesOther
Demographic TargetMajor CityMajor StateNationsInternationalAll the aboveOther
Have you had a website before?YesNo
Will you be replacing and existing website?YesNo
Would you like your website to have unique functions?YesNo
Are you willing to commit to an ongoing monthly subscription using direct debit?YesNo
Do you have any knowledge about websites and the systems that drive the web?YesNo
Do you have any knowledge of WORDPRESS website framework and software tools?YesNo
Are you willing to learn the basics of WORDPRESS?YesNo
Would you be willing to learn to manage your own website?YesNo
