Care Plan Questionnaire

Part I: General Information

Business Name

First Name

Last Name

Title

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Email

Phone/Mobile

Current Website URL

Part II: Content Management

Do you have access to your current web hosting account?

Yes

No

Current Web Hosting Company (if applicable)

What domain registrar do you use? (if applicable)

Google Account (if applicable)

Is your site managed by a content management system (CMS)?

Yes

No

Not sure

Provide the name of the other CMS

Is your website an e-commerce website?

Yes

No

Do you currently have a blog?

Yes

No

If yes, where is it hosted?

Current website

Sub domain

Not sure

other

Does your website have other legal requirements in place?

I have a Privacy Policy

I need a Privacy Policy

I have Terms of Service

I need Terms of Service

I have Disclaimers

I need Disclaimers

My website needs to be accessible (WCAG 2.1)

My website needs to be GDPR compliant

I am unsure what I have and need

Part III: Other Information

Who is the decision maker for this project?

What is the typical turnaround time for making decisions?

Do you have a designated IT person that we need to coordinate with?

Yes

No

What other staff will be involved? What are their roles?

What is your preferred deadline for completing the site?

Anything else we can help you with?

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