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Questionnaire

	Please fill out our questionnaire so that we can send you a more accurate assessment of your needs and costs. All fields marked with an asterisk (*) are required.
Please check which you would prefer: (*)	I do want a 2-hour personal consultation. After I complete the questionnaire, please email my estimate and call me so we can make an appointment for a 2-hour personal consultation for $99.95 and I can get 1 Year of Basic Webhosting service (a $49.95 value) FREE!!! I do not want a 2-hour personal consultation. After I finish the questionnaire, please email my estimate only and send me a promo code to get $10 off my first year on any website hosting package. Invalid Input
	Your Contact Information:
Full Name (*)	Invalid Input
Company Name	Invalid Input
Street Address	Invalid Input
City	Invalid Input
State (*)	Invalid Input
Zip	Invalid Input
Contact Phone Number	Invalid Input
Extension	Invalid Input
Email (*)	Invalid Input
	Please tell us about your website:
Do you currently have a website? (*)	YesNo Invalid Input
Website URL	Invalid Input	Telling us your URL will allow us to see your current website.
The name of your current webhosting company.	Invalid Input	You don't have to tell us but knowing what you have now will help us in our estimate/consultation.
Your website hosting package (if you know what it is called).	Invalid Input
How much are you currently paying every month/year for website hosting?	Invalid Input	You don't have to tell us but it will help us to determine what best fits your needs.
Please select the functions or services you are now using: (*)	E-commerceDiscount Coupons for SalesSales Affliate ProgramNewsletterUser RegistrationCustomer Support TicketsEvent CalendarGoogle AdsBlogOtherNone of these Invalid Input
Please list any functions or services not listed that you are currently using:	Invalid Input
	Your current E-commerce usage:
Do you currently or would you like to sell goods and/or services on your website? (*)	Yes I currently sell goods and/or services on my site. No but I want to add that functionality. No I don't need to. Invalid Input
Do You know the name of the E-commerce software you are using?	YesNo Invalid Input
E-commerce software	Invalid Input	If you know the name of the software you are using for e-commerce it would help us.
	Please tell us about the services you are interested in:
	Website Hosting Services:
Are you interested in changing your website hosting company? (*)	YesNoI don't know Invalid Input
How much would you like to spend for website hosting each year?	$4.95 mo/$49.95 Basic Package $8.95 mo/$79.95 yr Standard Package $12.95 mo/$109.95 yr Premium Package I'll need to customize a package Invalid Input	You can use our hosting package pricing as a guideline and then we can add anything extra to customize a price for you.
	Design and Maintenance Services:
Are you interested in having your website website designed/redesigned? (*)	YesNoI don't know Invalid Input
Do you have a website designer?	Yes - I do it myself Yes - I have someone who does it for me No - But I want to learn No - I want to see what you offer Invalid Input
How much would you say you have in your budget for designing/redsigning the look of your website?	$0-$300$300-$600$600-$1000$1000-Up Invalid Input	This is only for the graphic design of the website and does not include any special functions or services as listed below.
Do you pay anyone to or do you maintain/update your website? (*)	Yes - I maintain and update it myself Yes - I have someone in my company who does it Yes - I pay an outside person to do it No - But I want to do it/learn to do it myself No - But I want to teach or have someone in my company do it No - I want to pay an outside person to do it No - I don't need it Invalid Input
Please select the functions or services you would like to use:	E-commerceDiscount Coupons for SalesSales Affliate ProgramNewsletterUser RegistrationCustomer Support TicketsEvent CalendarGoogle AdsBlogOtherNone of These Invalid Input
Please list any functions or services not listed that you would like:	Invalid Input
Do you have an account with Google to verify and optimize your site with them?	YesNoI don't know Invalid Input	Google has certain guidlines and tools that help them and other search engines crawl your website.
Have you paid anyone for SEO (Search Engine Optimization) services?	YesNoI don't know Invalid Input
Please enter the code for anti-spam purposes:	Refresh Invalid Input
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Newsflash

The one thing about a lot of websites is they always change! Palm Harbor Internet Services can show you how the FREE Joomla! Content Management software makes it easy to add Articles, content, images, videos, and more. Site administrators can edit and manage content 'in-context' by clicking the 'Edit' link. Webmasters can also edit content through a graphical Control Panel that gives you complete control over your website.