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Speedy Website Design Questionnaire

Please complete & submit the form

Welcome

Thank you for your interest in Optic Cell Media speedy website design. This questionnaire form was created to help you submit everything that is required for us to get started. Please take your time answering ALL questions and be as detailed as possible.

Field is required!
Field is required!

Before we begin, let us explain a little bit how we work:

  • All speedy websites are built based upon your choice of one of three speedy website design templates and the information that you provide.
  • We exclusively host the non-transferable website.
  • First year hosting the website is free and is $99/yr. thereafter.
  • Domain name registration/renewal and email addresses are additional.
  • Please be as detailed as possible when filling out this form.
  • We will review your submission to make sure everything we need is there and provide you with payment options via email before we begin work.
  • If anything is missing, is of unacceptable quality, or content is lacking, we will contact you to request that these be resubmitted before we begin work.
  • Please be sure to proofread all spelling, grammar, punctuation, graphic elements, and images/photos before submitting this form. It is your responsibility that everything submitted is ready for production.
  • All websites are built to be mobile-friendly and have a responsive design so that your website will look appropriate on devices with different screen sizes.
  • We look forward to creating a speedy website for you at an affordable cost within 10 business days after everything has been received and accepted, including full payment.
Field is required!
Field is required!

Business Information

About Your Business

Company / Organization*
Field is required!
Field is required!
Address*
Field is required!
Field is required!
Address 2
Field is required!
Field is required!
City*
Field is required!
Field is required!
State*
Field is required!
Field is required!
Zip*
Field is required!
Field is required!
Business Phone Number*
Field is required!
Field is required!
Business Email Address*
Field is required!
Field is required!
Type of Business*
  • - select a option -
  • Agriculture
  • Beauty
  • Computers / Technology
  • Construction
  • Education
  • Energy
  • Entertainment
  • Financial
  • Food
  • Health Care
  • HVAC
  • Information
  • Legal
  • Manufacturing
  • Transport
  • Other
- select a option -
Field is required!
Field is required!
Hours of Operation
(i.e. Mon. thru Fri. 8am to 5pm, closed Sat and Sun)
200 characters max!
200 characters max!
Website URL Address
Leave blank if you don't have one yet, we'll ask later for your desired domain name
http://
100 characters max!
100 characters max!

Project Lead / Contact Person Info

First Name*
Field is required!
Field is required!
Last Name*
Field is required!
Field is required!
Email Address*
Field is required!
Field is required!
Phone Number*
Field is required!
Field is required!
Mobile Number
Field is required!
Field is required!
Additional Contact Person(s)
Please include names, phone numbers, and email addresses
Required field! 500 characters max!
Required field! 500 characters max!

Choose a Template

Please choose a template!
Please choose a template!
Field is required!
Field is required!
Field is required!
Field is required!
Field is required!
Field is required!

Design & Social Media

Logo

Do you have a logo?*
Field is required!
Field is required!
Please upload your current logo
Only jpg, jpeg, png, pdf, gif, tiff, and svg files accepted
(2MB max)
Upload your logo...
Please upload your logo! 2MB max!
Please upload your logo! 2MB max!
Or, email your logo to info@opticcell.com
Field is required!
Field is required!
Please fill out our logo design questionnaire for new logos
Field is required!
Field is required!

Social Media

Do you have any social media accounts?*
Field is required!
Field is required!
List website URL links to your social media pages*
(i.e. facebook.com/opticcell, pintrest.com/opticcell)
Required field! 500 characters max!
Required field! 500 characters max!

Colors

Colors to be used in design*
(Must select 3 or more color options)
Please select at least 3 color options
Please select at least 3 color options
Please use color pickers below to choose colors:
(Pick three custom colors)
Color #1*
Pick a color
Pick a color
Color #2*
Pick a color
Pick a color
Color #3*
Pick a color
Pick a color
Specify any additional colors or instructions below
500 characters max!
500 characters max!
Are there any additional design details that should be incorporated?
(i.e. company colors, fonts, style guide, etc.)
500 characters max!
500 characters max!

Content - Homepage

Website Pages

Please provide a title for three (3) pages

(e.g. Services, Pricing, Our Team, Our Experience, What We Do, Portfolio, About Us, etc.)
Page Title #1*
Required Field! 20 Characters Max!
Required Field! 20 Characters Max!
Page Title #2*
Required Field! 20 Characters Max!
Required Field! 20 Characters Max!
Page Title #3*
Required Field! 20 Characters Max!
Required Field! 20 Characters Max!

Homepage Slider Images

Please provide up to eight (8) images
Only jpg, jpeg, png, and gif files accepted
(Up to 1MB per file / 8MB total)
Upload your images...
16MB total and 8 images max!
16MB total and 8 images max!
Need to upload larger or more images?
Field is required!
Field is required!

Slogan / Tagline

Top Page Slogan / Tagline*
Required Field! 100 Characters Max!
Required Field! 100 Characters Max!
Middle Page Slogan / Tagline*
Required Field! 100 Characters Max!
Required Field! 100 Characters Max!

Homepage Text Copy

Please type in text copy*
Required Field! 2,500 characters max!
Required Field! 2,500 characters max!
Upload any images to be used within the text copy
Only jpg, jpeg, png, and gif files accepted
(up to 1MB per file / 5MB total)
Upload your images...
Field is required!
Field is required!
Need to upload larger or more images?
Field is required!
Field is required!
Additional notes for this page
Let us know of anything additional or specific
1,000 characters max!
1,000 characters max!

Content - Page #1

Text Copy

Please type in text copy*
Required Field! 2,500 characters max!
Required Field! 2,500 characters max!
Upload any images to be used within the text copy
Only jpg, jpeg, png, and gif files accepted
(up to 1MB per file / 5MB total)
Upload your images...
Field is required!
Field is required!
Need to upload larger or more images?
Field is required!
Field is required!
Additional notes for this page
Let us know of anything additional or specific
1,000 characters max!
1,000 characters max!

Content - Page #2

Text Copy

Please type in text copy*
Required Field! 2,500 characters max!
Required Field! 2,500 characters max!
Upload any images to be used within the text copy
Only jpg, jpeg, png, and gif files accepted
(up to 1MB per file / 5MB total)
Upload your images...
Field is required!
Field is required!
Need to upload larger or more images?
Field is required!
Field is required!
Additional notes for this page
Let us know of anything additional or specific
1,000 characters max!
1,000 characters max!

Content - Page #3

Text Copy

Please type in text copy*
Required Field! 2,500 characters max!
Required Field! 2,500 characters max!
Upload any images to be used within the text copy
Only jpg, jpeg, png, and gif files accepted
(up to 1MB per file / 5MB total)
Upload your images...
Field is required!
Field is required!
Need to upload larger or more images?
Field is required!
Field is required!
Additional notes for this page
Let us know of anything additional or specific
1,000 characters max!
1,000 characters max!

Domain, Email & Feedback

Domain Name

Do you already own your domain name?*
(i.e. www.myawesomewebsite.com)
Field is required!
Field is required!
Who is your domain name provider?*
(i.e. NameCheap, GoDaddy, Network Solutions, etc.)
Required field! 100 characters max!
Required field! 100 characters max!
Do you have login info for your domain provider?*
Field is required!
Field is required!
Please list your desired domain name(s)*
Required field! 500 characters max!
Required field! 500 characters max!
Do you have email addresses for your domain?*
(i.e. john@yourwebsitename.com)
Field is required!
Field is required!
Please list new email addresses:*
(e.g. info@mywebsite.com, john@mywebsite.com, etc.)
Required field! 500 characters max!
Required field! 500 characters max!

Additional Feedback

Please provide us with any other feedback, comments, or questions that you may have
1,000 characters max!
1,000 characters max!

Summary

Before submitting your data..
  • Please review each question and page for accuracy.
  • Make sure you have answered all questions and completed the whole form with as much detail as possible.
  • Project lead / contact person will receive a copy of this form via email.
  • We will review your submission as soon as possible and will be in touch.
Field is required!
Field is required!
Field is required!
Field is required!
Submit

Note: This form saves your progress on your current device and you may come back later to finish.
Clearing your browser cache / cookies will delete your progress.
* = Required field

If you have any questions, please give us a call at (872) 215-2226
or email support@opticcell.com

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info@opticcell.com

(872) 215-2226

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