w3 Table Based Form Template 1

Complementary Web Site Report & Grade

To ensure your web site Report & Grade is accurate, please try to answer all of the below questions to the best of your knowledge.

Why is this so important to your business? ( find out here )

General Info

Company name:
Contact name: *
Email address: *
Phone:
Fax:
Preferred contact method:	Phone Email Either is OK

Web Site Details

Do you have a web site?:	Yes No Not Sure
Web site address:	We have multiple websites (select)
Web site #1:
Web site #2:
Web site #3:
Years online:
Web site results?:	Yes No Not Sure
What would you like achieve?

Competition

Do you have any online competitors?:	Yes No Not Sure
Are you losing business to your competitors?:	Yes No Not Sure
Top 3 competitor web sites:
What sets you apart from your competitors?:

Products & Services

Briefly describe your main product and/or service:

Does your web site produce the results you expect it to? For example: Do you get sufficient leads, purchases or product/service inquiries?

Describe in your own words what you would like to achieve with your web site? For example: Do Get more sales, generate more leads, teach/educate people, etc. Please elaborate.

20885 Redwood Road, Suite # 344
Castro Valley, CA. 94546
phone# 877-770-1661
fax# 510-888-1445
E-Mail: john.proexpos@comcast.net