Great! We are excited to begin working on your project. Please complete the following questionnaire to get started. Author Web Design Client Questionnaire Tell Us About You Business Name * The exact name of the company, including abbreviations such as Ltd., Inc., Limited, Gmbh, or any other. Name of Primary Contact * Address * Address Address Address City City State/Province State/Province Zip/Postal Zip/Postal Country Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Côte d'Ivoire Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Barthelemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Country You’ll be having this on the Contact Us form. If you plan to include a Google Map (you should), you’ll want to know the exact business address. Phone Number Email Address * WHAT’S YOUR TECHNICAL SKILL LEVEL? I don’t know too much about computers and would need a lot of direction. I’m capable but would need some clear direction. I’m advanced and can learn very quickly. AUTHOR PACKAGE SELECTED Which author website package will you be starting with? Essentials Author Package Book Seller Author Package Premier Author Package Premier Author Package with Additonal Customization Project Background Do you currently have a website and looking for a redesign? Yes No Number of Books Published Please tell us about your newest book—title, publisher, and publication date. * Genre Who are your three biggest competitors? What makes your book(s) different than others that may have covered the same subject? Do you already have a Domain Name for your business? * Yes No Do you need us to buy your domain? Yes No Do you already have an autoresponder set-up? Yes No With who? What’s your deadline for this project? * Could you give us a ballpark figure for your available budget for the website project? Visitor and Site Demographics My site will be built to target (age) Kids and teens In their 20s In their 30s In their 40s In their 50x Senior citizens My site will be built to target (gender) Male Female OtherOther My site will be built to target (income), expand as necessary Kids Students Not employed Employed Self-employed Affluent OtherOther My site will be built to target (education), expand as necessary High school students College students Completed secondary or upper-secondary Post secondary My site will be built to target (geography) Local (town / city) State National (Country) International My site will be built to target people with a specific occupation. Yes No Niche (Who is your book(s) designed to reach? Please describe any other visitor demographics you wish to target Do you want to expand your target audience in a specific direction? Yes No Please explain Someone’s searching Amazon for your book. What words or phrases will they search for in Google? What is it that makes your book unique on the market? Do you have any proof that your solutions are better than your competitors? Client testimonials Excellent feedback from clients Product comparisons Product reviews OtherOther PLEASE PROVIDE ANY OTHER COMMENTS YOU FEEL MAY BE HELPFUL Submit!