Webdevelopment & Marketing Questionaire

WEB DEVELOPMENT & MARKETING QUESTIONNAIRE

This Webdevelopment & Marketing Questionnaire is designed to help us help you write and design your website. Please give us as much specific information as you can in language that will be most helpful to your patients, their family and friends. If you need some help you can look at other websites we have produced that link with www.MedicalPracticeOnline.com. For your information, www.cardiocppa.com is a good example of a well-written website.

Provide your answers by typing directly into this document. When sending written content or changes and corrections to the website, it is always best to send us this typed form, a Word document file or email. Email your correspondences to info@MediclPracticeOnline.com. Please do not Fax us text to be used for the web, as it must then be re-typed or processed by optical character recognition software.

Call us at 831.402.1373 for assistance?

Client involvement is integral to meeting expectations and deliverables. Successful project completion is best accomplished when one person from the client’s team serves to manage coordination and approval of each phase of development. Provide contact information on the right if this person is different from key contact at the company.

CONTACT INFORMATION

Company Name
First Name	Last Name
Address
Suite
City	State	Zip
Email Address
Phone	Fax
Website URL

We host websites with our technology partners US Logics. They have state-of-the-art servers, levels of back-up to reduce the risk of down time, and the most effective software on the market to make sure that all of our websites perform optimally.

If you don’t have an existing domain name we will register one for you. If you do have an existing domain name, we will transfer it to our registrar at US Logics.

Before we can begin building your website, we will need to have certain information to make the transition of your current domain name smoother. Please provide us with the information below to assist our efforts with your website.

WEBSITE INFORMATION

Current Registrar

Domain Name

Username

Password

Current Hoster

Control Panel URL

Username

Password

Sub-Domains

Do you currently have your own in-house email server?

Yes

Do you currently have an external email server with another company such as Go Daddy?

Yes

Do you currently have your own IT department or use an out-sourced IT provider?

Yes

If you do have an IT department or outsource, who are they and what is their contact info? Please advise your IT people we will be in contact with them.

First Name
Last Name
Company
Phone Number
Email

Do you have any other servers that are used in conjuction with your domain name, website or business?