netGALAXY Studios | Mobile App Development

Client Questionnaire

Step 1 of 4

Company Contact Info
Your Name*
First Last
Company Name*
Company Contact Email*
Company Address*
Street Address Address Line 2 City State ZIP Code
Company Phone*
Project Point of Contact Name
POC Phone
POC Email
Who is your target market?*
Top 3 Competitors*

Login Information
Website Login URL, Username, & Password
Website Hosting Login
Is your domain name hosted by a different company?
- Yes
- No
Domain Name Registrar Login
Who is your email exchange server?
Email Logins
Do you use an email marketing software?
Email Software Login Info
Will your website be processing debit/credit cards?
Merchant Processing Login
IS there any other software you use that will integrate with your new site?
Software/Integration Logins

Login Information
Facebook URL
Twitter URL
Twitter Username & Password
LinkedIn URL
LinkedIn Username & Password
business.google.com Login & Password
Instagram URL
Instagram Username & Password

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