Website Design Questionnaire

Please complete & submit the form


Thank you for your interest in Optic Cell Media website design. This questionnaire form was created in an effort to discover the scope of your website design project, provide a creative brief for our design team, and to help create a formal website design quote for you. Please take your time answering ALL questions and be as detailed as possible. Website design and development is a collaborative process and will require your involvement in every stage.

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

  • All websites are built using WordPress and Elementor Pro page builder; along with other WordPress plugins. This gives you a content management system which allows you to edit the majority of your website without knowing how to code; what you see is what you get experience.
  • We are strong believers in your participation for the progression of your website and highly recommend you learn how to edit your website through optional website training after your website has launched.
  • We specialize in building beautiful and functional websites, designed towards your needs and industry style.
  • Please be as detailed as possible when filling out this form.
  • While we will create the base foundation and web design layout, it is expected for you to provide, add, and edit the content.
  • We offer copywriting, image, graphic, video, and other content creation services if needed.
  • We will guide you through every step of the way, and train you how to utilize WordPress so you can login and modify your website.
  • Please be aware that this website design project will require you to commit your time and proofing/testing is critical.
  • 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 wonderful website for you.

Business Information

About Your Business

Company / Organization*
Address 2
Business Phone Number*
Business Email Address*
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(s)

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
If you would like to edit, update and manage your website, what's your (or the project lead) technical skill level?*

Website Needs

Additional Business Info

Type of Business*
  • - select a option -
  • Agriculture
  • Beauty
  • Computers / Technology
  • Construction
  • Education
  • Energy
  • Entertainment
  • Financial
  • Food
  • Health Care
  • HVAC
  • Information
  • Legal
  • Manufacturing
  • Transport
  • Other
Enter your Business Type*
Type of Website*
  • - select a option -
  • Personal
  • Educational
  • Sport
  • Food / Restaurant
  • Local Business
  • Small Business
  • Medium Business
  • Other
Enter your Website Type*
Project Budget*
  • - select a option -
  • $0 - $1,000
  • $1,000 - $3,000
  • $3,000 - $5,000
  • $5,000 - $10,000
  • $10,000 - $20,000
  • $20,000 - $50,000
  • > $50,000
What is your time frame or deadline for completing this website?*
Select Deadline Date*
Why do you have a specific deadline?*
Do you have any affiliates or awards?
Please list names and website URLs

Mission and Goals

Tell Us About Your Business*
Please provide a brief overview of your business. What do you do or produce?
Purpose / Goals of Website*
(Choose all that apply)
Other Goals*

Target Market

Website Visitors

Who will visit your website?*
Describe your potential customers; young, old, demographics, etc.
Why do you believe website visitors should do business with you rather than your competition? What problem are you solving for them?*

Visitor Actions

What action(s) would you like users to perform while visiting your website?*
Choose all that apply
Other Actions:



Will this be a website re-design?*
What do you dislike about your current website?*
Explain what is working and not working
Do you have a logo?*
Please upload your current logo
Only jpg, jpeg, png, gif, and svg files accepted
(10MB max)
Upload logo...
Please tell us about the look and feel that you have in mind*
Please upload any logo examples you like:
Only jpg, jpeg, png, gif, and svg files accepted (30MB max)
Upload logo example(s)...
For people visiting your website, especially for the first time, what feelings or impressions do you want them to feel about your company?*
Who are your 3 biggest competitors? What do you like and dislike about their websites?*
Please include URLs and company names
List at least 3 example websites (URLs) that reflect the style, color, and/or feel that you would like for your website*
Please comment on what you like about each website (i.e. the look and feel, functionality, features, colors, etc.)


Colors to be used in design*
(Must select 3 or more color options)
Please use color pickers below to choose 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.)


Pages and Sections

What are you offering?*
Select basic pages and sections for your website below. (This will help to determine the navigational menu)
Please list additional pages and sections:
Create a list of sections and pages you think you'll need

Website Content

Which special functions or features are you considering using for your website?
(Choose all that apply)
Please list any additional functions or features that you would like for your website, even things that you would like to add later
Please be as specific and detailed as possible
Do you have written content, images, and photographs for your website pages?*
You must have full copyright ownership or permission for use of all submitted content to be used on your website
Are there any industry trends that we need to be aware of when designing your website?

Marketing Your Website

Finding Your Business

How do people find out about your business or products right now?*
Have you thought about how you're going to market your website?*
Please explain how you plan to market your website, and if there's anything we can do to help*
(i.e. pay-per-click, local business listings, SEO, blog articles, brochures, flyers, etc.)

Keywords & Phrases

If someone were to search for your product or service, which search terms might they use?*
Please list as many search terms as possible

Promoting Your Business

Do you have any social media accounts?*
List website URL links to your social media pages*
Do you have an email service for marketing?*
Please type in your email service provider for email marketing*
Would you like to build a mailing list and use it for newsletters and marketing?*
Are you interested in publishing blog articles for your website?*
How often are you interested in publishing blog articles to your website?*
Would you like printed products produced?*
(i.e. business cards, brochures, flyers, catalog, etc.)
Please list printed products you are interested in*

Domain & Hosting

Domain Name

Do you already own your domain name(s)?*
Who is your domain name provider?*
(i.e. GoDaddy, NameCheap, Network Solutions, etc.)
Do you have login info for your domain(s)?*
Please list your desired domain names*
Do you have email for your domain(s)?*

Website Hosting

Do you currently have a website hosting plan?*
This is where your website files are stored
Who is your website hosting provider?*
(i.e. GoDaddy, BlueHost, HostGator, etc.)
Do you have login info for your website host?*
Do you want to encrypt the transmission of data on your website with SSL?*
Highly recommended for all websites

Maintenance & Feedback

Website Maintenance

Do you plan on mostly updating the website yourself?*
If you're adding a blog, do you already have several things written?*
Would you like your website to be maintained?*
Includes updating/testing WordPress and plugins once a month and fixing minor issues

Additional Feedback

Please provide us with any other feedback, comments or questions that will help us with creating a quote


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.

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

Contact Us

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