Web Design Questionnaire

Please fill out the form below as accurately as possible so that we can get a clear picture of your goals. It may appear lengthy at first glance, but it shouldn’t take too long.

These questions allow us to:

  1. get a good understanding of your business, who your audience is and what you are looking for;
  2. produce a quote that is as accurate as possible to your needs and produce a website that meets your expectations; and
  3. build a site that is ready to be marketed online, staying true to your business’s core principles and vision.

Please note that we do not design sites for immoral or illegal activities or sites that, in our personal opinion, have questionable taste or goals.

We’ll Work Fast

We will do our best to get a detailed quote back to you within 24-48 hours. Thank you for considering JAAC Inc. and we look forward to helping you and your business get to the next level.

Need help? Call us at 850-358-1750 .

Please read our Privacy Policy before you continue.

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    About You

    First Name*

    Last Name*




    Email Address*

    PayPal Email Address*

    Primary Phone Number*

    Secondary Phone Number*

    About Your Business

    Are you a Nonprofit?*

    Are you a Religious organization?*

    Company Name*





    Company Size*

    How long have you been in business?*

    Do you have any investors?*

    If yes, please list investors name, occupation, and company duties.

    Average Annual Income*

    Number of Employees*

    Website URL

    Who is your Hosting company?

    Do you have full access to the Hosting company's cPanel?

    Are you happy with your Hosting company?

    Why are you happy or not happy with your Hosting?

    Social Links*

    Briefly describe your company.*

    What makes your company different from your competitors?

    Who is your target market?*

    List your direct competitors*

    About Your New Website

    What type of website will you need?*

    Please Describe Other

    Approximately how many pages will you need developed for your website? (Home, About Us, Contact Us, etc.)*

    What is your preferred color scheme?*

    Please check all the functionality you would like to see in your new site.



    Social Network Integration (Facebook, Twitter, etc.)

    Image Slider

    Membership Registration

    Media Download

    Audio Files

    Google Maps

    Pricing Tables

    Video Gallery

    Photo Gallery

    Event Calendar


    Accept Donations

    Pop-up Software

    Contact Form

    Contact Form w/CAPTCHA

    Lead Form

    Internal Site Search Feature

    PayPal Integration

    Website Security


    Please Describe Other

    General Information

    I have my own logo (High-resolution vector format required)

    I need a logo

    I have my own photos (High-resolution required)

    I will need premium photos

    Do you require a database?*

    If yes, what specific functionality will it need?

    Do you already have written content for your site?*

    If needed, on how many pages will you need us to write content for you?

    Do you require printer-friendly options?*

    Will we need to find and/or create any images for the website?*

    Will your visitors require any special needs (i.e., screen reader ready, larger fonts)?*

    Do you need multi-language support?*

    Will you be offering advertising on the site?*

    Do you have a favicon or will we need to create one?*

    List the top three websites you like and why?*

    What is your timeframe for this project?*

    What's your estimated budget for this project?*

    Do you wish to handle your website's ongoing optimization and SEO needs?*

    Do you wish to handle your website's monthly software updates and maintenance yourself?*

    Do you wish to handle your website's ongoing security and protection yourself?*

    Do you wish to handle your website's ongoing cPanel hosting service and maintenance?*

    Do you prefer a basic support plan or would you prefer priority support for a few bucks more?*

    If you refer a customer to us, would you like us to send you $100?*

    Is there anything else you'd like us to know?*

    Almost Done

    How did you hear about us?*

    I have read JAAC Inc. Privacy Policy.*

    Upload file or folder.