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.

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.

Business Information

About Your Business

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

Project Lead / Contact Person Info

First Name*
Last Name*
Email Address*
Phone Number*
Mobile Number
Additional Contact Person(s)
Please include names, phone numbers, and email addresses

Choose a Template

Design & Social Media

Logo

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

Social Media

Do you have any social media accounts?*
List website URL links to your social media pages*
(i.e. facebook.com/opticcell, pintrest.com/opticcell)

Colors

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

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*
Page Title #2*
Page Title #3*

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...
Need to upload larger or more images?

Slogan / Tagline

Top Page Slogan / Tagline*
Middle Page Slogan / Tagline*

Homepage Text Copy

Please type in text copy*
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...
Need to upload larger or more images?
Additional notes for this page
Let us know of anything additional or specific

Content - Page #1

Text Copy

Please type in text copy*
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...
Need to upload larger or more images?
Additional notes for this page
Let us know of anything additional or specific

Content - Page #2

Text Copy

Please type in text copy*
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...
Need to upload larger or more images?
Additional notes for this page
Let us know of anything additional or specific

Content - Page #3

Text Copy

Please type in text copy*
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...
Need to upload larger or more images?
Additional notes for this page
Let us know of anything additional or specific

Domain, Email & Feedback

Domain Name

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

Additional Feedback

Please provide us with any other feedback, comments, or questions that you may have

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.

Note: This form saves your progress on your current device and you may come back later to finish.
C
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* = Required field

If you have any questions, please give us a call at (872) 215-2226

Contact Us

Start your path to success today!

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