One Stop Dental

Internet Services - Signup

We will arrange for our service provider to contact you direct to ascertain your requirements and preferences and provide you with some example sites that are similar to your stated requirements

Preferred -	Day
	Time
	Telephone Number

All Fields Required
Name
Current position
Email Address
Telephone Number
Do you have an existing website?	Yes No
If Yes
Website address
Does your website accurately reflect your business?	Yes No
Is the content on your website out of date?	Yes No
Level of satisfaction with current website:	High Satisfactory Low
Who is currently hosting your website?
Do you pay a maintenance fee?	Yes No
How do you rate the service of your current provider?	High Satisfactory Low
What marketing do you currently do for your website?
Can you track the success of your website?	Yes No
Have you generated new business from your website?	Yes No
Estimated number of new patients in the past 6 months:
Knowledge of the internet?	Excellent Average Limited
Do you understand the importance of search engines?	Yes No
Where do you currently advertise?	Yellow Pages Major Newspapers Community Newspapers Magazines Cinema TV Radio
What is your target market?	State Regional Local
Why haven’t you setup a website before?
What would you like the website to achieve?	Promote Credibility Target New Markets Reference point for clients Increase Business Growth
Will you need to control content on your site?	Yes No
Please list three website you like