Website Design Form | Retailors Group

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Please choose the general industry that best describes your business*
- Home Improvement
- Health and Wellness
- Restaurant
- Professional Service
- E-Commerce
- Non-Profit
- Personal (not a business)

What best describes your Website Design requirements?*
- I need a brand new website
- Overhaul of my existing website
- Minor changes to my website
What will be the main objective of your website?*
Select multiple choices if applicable
- Help customers find my business online
- Sell my product or services and take payments online
- Provide information to prospective customers
- Drive Traffic to a physical location
- Generate Leads

What is your website URL?*

How soon would you like to have the project started?*
- ASAP
- 2-3 Weeks
- In the next couple of months
- I am not sure

What is the deadline for completion of this project?*
- I am not sure
- Less than 1 month
- Up to 8 Weeks
- Up to 12 Weeks
- 12+ Weeks

What is your budget for the website?*
- Less than $1,000
- $1,000 to $2,000
- $2,000 to $5,000
- Over $5,000

How would you like to be contacted?*
- Phone Call
- SMS
- Email

Please leave us your information and we will get back to you with a quote
Name
Email*
Number*
Other details on your requirements?
Email
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Please choose the general industry that best describes your business*
- Home Improvement
- Health and Wellness
- Restaurant
- Professional Service
- Other

Which Home Improvement service do you work in?*
If you do more than 1 service listed below, choose the service that you require more leads for
- Windows and Doors
- Kitchen and Bathroom
- Plumbing / Drain / Waterproofing
- Heating and Air Conditioning
- Roofing
- Custom Closets and Organization
- Basement Renovation
- Electrical
- Flooring
- Landscaping
- Other

What type of business are you?*
Business Type *

Please choose the statement that best describes what you want to accomplish with Digital Marketing*
Although, you might want to accomplish more than 1, choose the option that you would say is your top priority
- I want to generate more leads
- I want to drive traffic to a physical location
- I want to sell more of my product/service online
- I want to drive more awareness towards my business

Do you have more than 1 physical location that you want to drive traffic to?*
- Yes
- No

Do you need leads from more than 1 city?*
- Yes
- No

Do you currently have a website?*
- Yes
- No

What is your website URL*
Website

Thank You!

Please fill in your information and we will send you an email with a custom recommendation for your digital marketing strategy
Name*
Email
Phone*