Get Started » 13 Core

Potential Client Survey

Hi there and thank you for considering 13Core for your online branding needs. Please fill out as much of this form as it pertains to your needs and omit what is not relevant. We look forward to helping you grow your online presence.

Basic Information
Name*
First Last
Email*
Phone*
Company Information
Company Name
Company Name
Company Website
Company Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Do you already have an online presence?
- Yes
- No
Tell me more about your company.*
What type of services are you interested in?*
Pick as many as you like.
- New Website
- Updated Website
- Website and Email Hosting
- Online Brand Building
- Website Restoration and Repair
- Premium Optimization Subscriptions
Design Services
If you already have an online presence give me your top three things you want to keep and the top three things you wish to dispose of.
What are your goals for creating or updating your online presence?
Please describe your perfect customer that will come to your website.
Tell me about your competitors. What can I learn from them as I build your brand to be better?
Are there any websites that you like the design and why did you pick them?
Is there any other information that I need to know?
Captcha

Potential Client Survey

Basic Information

Company Information

Design Services