New Service Questionnaire Name* First Last Email* Enter Email Confirm Email Phone*Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Organization (if applicable) Does your site currently exist?* No, we're starting fresh with a new site. Yes, a site exists but we want to have it rebuilt or redesigned Yes, you will be adding functionality or updating content on an existing site Do you own the domain for the new site?*For example: www.mysite.com or http://mysite.com. Yes, we will be transferring it from another site Yes, it has been purchased but it has not been activated No, I will need you to help me find a domain and purchase it No, but I will take care of it myself. Proceed with a temporary domain. Current Website* Is your current site built in WordPress?* Yes No Not sure Current site trafficNumber of visitors per month, general analytics Current site sizeIn other words, the amount of space it takes on the server What do you like about your current site?*What are you looking for in a redesign or rebuild? What would you like to improve on your current site?*Site and Hosting credentials1. Visit https://1ty.me to create a new secret2. Please list credentials including site back end, web hosting, domain registrar and any others I will need to access your accounts and other assets3. Copy the secret link below. I will only be able to open it once before the link self-destructs.4. If you prefer to do this at a later time, no problem! I will just need the information to start your project. NOTE: If you use GoDaddy for your domain or hosting service, please "Delegate Access" to [email protected] under Account Settings. I will not need any access to billing and will be sent an email automatically when this is done. (This prevents our having to coordinate 2FA codes to allow my access.) If we are working on your front page, which features would you like to have on it?* Large header image (I can help find one for you but it may require purchase. Cost can range from $0-$50 depending on what you select.) Contact Form Testimonials Features and pride points In the News About the Owner (please provide headshot) Social media stream (Facebook, Twitter, etc...) Existing multimedia or interactive presentation Photo Gallery Staff images Call to Action (Donate now! Call for more information! etc.) Map/Directions (Will be on contact page but can also be on front page) Up to six options, or you can keep your home page very simple for a more direct message (such as for an art gallery).What are you looking for in a new site? What functionality should it have?*Are there any sites you particularly like that we should use for reference? Why?Are there any sites that you do not like? Why?Does this need to be completed by a specific date for an event or presentation? Please only use if there is an actual deadline, allow at least 2 weeks. MM slash DD slash YYYY Upload filesAccepted file types: pdf, doc, docx, txt, jpg, png, jpeg, Max. file size: 256 MB.Please upload any additional documentation which might be useful. Examples include logos, styleguides, etc. Additional Contacts and StakeholdersPlease list the names and email addresses of any additional contacts and their role in this project. Please note that most communication will be with a single primary contact.What else should Skullengine Web know about this project?CAPTCHA
