Client Questionnaire

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Client Name *

First

Last

Client Company *

Do you have a website currently? If so please link it below.

to of interest

Do you currently have social media for your business? If so please link it below.

Project Goals *

Project Overview *

Client Phone Number *

Client Email *

Work Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Position/Title *

Department *

What is the nature of your business? *

Which of our services are of interest to you? Select all that apply. *

If you require web development please choose which features are applicable to you.

Will you require ongoing maintenance? *

What is your proposed budget for this project? *

Do you have any budgeting concerns? *

Yes: Please explain your budgeting concerns.

How did you hear about us? *

Please specify.

Fair Place Designs’ mission is to create accessible, equitable, and human-centered design solutions that genuinely serve people of all abilities.

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