Website Worksheet Name of Person Completing Form* First Last Today's Date Date Format: MM slash DD slash YYYY Company InformationCompany NameWebsite Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code PhoneWhat is the main reason for wanting a new website?What about your current website is working well?What are the top reasons someone visits your website?What is/should be the primary purpose/goal of your website?Select oneGenerate LeadsGive InformationSell a ProductProvide MembershipBlogProvide Downloadable InformationWhat are the other, secondary goals for your website? Generate Leads Give Information ("Brochure") Sell a Product Provide Membership Blog Provide Downloadable Content Other Do you have a specific timeframe/launch date? Anything else you'd like us to know?