Customer Information

(*) Mandatory fields.

First Name*

Last Name*



Email Address*

Company Details

Briefly describe your business and what services you are interested in.*

Situational analysis of existing Website

Domain name registered?
 Yes No

If yes, what is your domain name(s)

Site review

What information do you want to display on your site (who we are, products/services, what we do, contact info, etc.):*

Site Plan

Using the ocheckbox, please add according to the preferences for your site
 I.Home II. About III. Services IV. Products V. News/Events VI. Photo Gallery VII. Calendar VIII. Resources IX. Contact Us

Who are your competitors online?

Of those, which competitor sites do you like?

Which websites outside of your industry do you like?

Do you have any color preferences for your site?


Do you plan on selling products or services on your website?
 Yes No

Do you want a CMS for your site?
A Content Management System (CMS) is a user friendly interface that allows you to add/edit/delete content on your website.
 Yes No

Do you want the ability to Blog on your site?
 Yes No

Do you want video on your site?
 Yes No

Do you want a photo gallery on your site?
 Yes No

Will you need SEF?
Search engine friendly (SEF): Websites constructed in such a way that the search engine spider can easily access all pertinent information.
 Yes No

Will you need SEO?
Search engine optimization (SEO) is the process of improving the volume and quality of traffic to a web site from search engines via "natural" search results.
 Yes No

Do you need logo design or redesign?

Do you want to include audio on your site
(music or other)?
 Yes No

Do you want multiple languages on your site?
 Yes No

Which ones?

Do you want the ability to track visitor statistics to your site?
 Yes No

Is there anything else that you would like in your website? Please describe here:

ShakeFX, LLC

Texas Office:
4711 Braesvalley Dr.
Houston, TX 77096
Florida Office:
541 Phillips Dr.
Boca Raton, FL 33432