Name

Company / Project Name

Email Address

Type of website Type of website A business website A personal website

Type of request Type of request Completely new website, there is no existing website Redesign existing website

Do you have a domain name already? Do you have a domain name already? Yes No, I would like your help with this

What is your desired URL

Your current URL

Your business/project Facebook page link

Your business/project Instagram page link

Any other online presence?

What is the main goal of your (new) website?

Shortly describe your main target audience

What should be included in your website? What should be included in your website? More than 1 information page News or Blog section Portfolio (examples of work) Forms (for requests, appointments, orders, etc) Price list Registrations for workshops, meetings, etc. Frequently asked questions References / testimonials Agenda / Calendar for events or activities Job Openings Option to receive online payments Web shop or online store with more than 10 products Contact Page Google Maps integration on contact page Follow on social media buttons Social media posts integration (eg. Instagram posts) Other (please add below)

Other elements that you would need included that we haven't mentioned?

Who will write the copy for the website? Who will write the copy for the website? I am not sure yet I will write those myself, or someone will write them for me I would like Bohemi to write all copy

Which of the following can you supply to us? Which of the following can you supply to us? Logo Brand style (colors, fonts) Images Videos Other None of the above

Hosting Option Hosting Option I already have a hosting provider I would like to make use of Bohemi's preferred hosting

Please add 1-3 example websites that you really like

Is there anything else you would like us to know?