Web Coach Request Form

Please complete the information provided. The web coach will respond to your request shortly.

Name of Business
Type of Business
Contact Person
Business Phone
Fax Phone
E Mail Address
What is the focus for your web site?
How will your website be used?
Why are you building a web site?
What design, art, layout, animation and structure do you have in mind for your site?
Will you be using e-commerce or a shopping cart?	Yes No
What needs to happen in order for your on-line web presence to fulfill your expectations?
What is your domain, or what domain would you like to use?
What time frame do you have for completion of your web development project?
Please add any questions or ideas you might have for the web coach?

Thank you for completing this questionnaire I look forward to working with you on your project.

Business Coach | Web Coach

Return to Success Coach Becky Haugen, Coach

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