Business Information - Local Business Rockstar

Name*

First Last

Email*

Cell Phone*

Public Brand Name of Your Company or Business*

Please list your slogan or tagline.*

If you don't have one, then please indicate that.

Business Phone Number*

Business Fax Number

Website*

If you currently do NOT have a website, then please enter http://NeedWebsite.com

Will you serve client/customer/patients at a physical location? If you are a service-based business, do you wish to publish an address on your site?*

Yes

No

It is always recommended to publish your business address online whenever possible to increase trust with your prospects and search engines. However, you may choose to not publish it if you wish.

Main Company Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Please enter the address for your primary business location.

Year Company Was Founded

Hours of Operation*

Mon

Tues

Wed

Thurs

Fri

Sat

Sun

This can be the hours which your physical location is open or hours during which you accept phone calls. If you have split hours during any given day, then click the + button to add an addition row. Please use format of 9am-5pm.

Does your business have more than 1 location or service multiple cities?*

Yes

No

How Many Locations Does Your Company Have?*

Please enter the total number of locations for your business.

Does the site launch need to coincide with a product launch or any other important milestone?*

Yes

No

Please describe the important product launch or important milestone:*

Date of Launch or Milestone*

Who are the decision makers on this project? What is the turnaround time for making a decision?*

Will any other people be involved in the development of site in any way?*

Yes

No

If yes, please identify and list who would be involved and what you think their role should be.*

Products / Services: List the top ten products or services your business provides:*

If less than 10, then list what you do offer. Use the + icon to add extra rows to enter your info.

Does Your Business Belong to Any Associations, Organizations, Chamber of Commerce etc?

Yes

No

Ex. BBB, National Associations, Local or Regional Chambers of Commerce

Please list any and all associations, organizations, etc*

Use the + icon to add extra rows to enter your info.

Are there any awards, patents or achievements that your business has been given?*

Yes

No

Ex. BBB Business of the Year, Patent #12345, Nobel Peace Prize, etc

Please list any and all awards, patents, achievements, etc.*

Use the + icon to add extra rows to enter your info.

Please add any URLs on separate lines below:

If you have any online documentation or online references regarding your awards, achievements, etc, like a website or press release, please list those URLs here. ie. http://www.mybusinessswonthis.com

Do you have any charitable causes or community goals that your business contributes to*

Yes

No

Ex. Make-A-Wish, St Jude's Hospital, United Way, etc.

Please list any and all Charities, Foundations or Communities that your Business is Involved with or Contributes to:*

Use the + icon to add extra rows to enter your info.

I think the BUSINESS INFO section of the Website Development Questionnaire is comprehensive, effective, and efficient.*

Any Additional Comments or Feedback you'd like to Offer?*

We'd like to make this process as simple and as easy as possible. Please let us know how you think we can improve this questionnaire process! Or inform us of any questions you have about your site.