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RASINE®:Website Design Questionnaire

This form helps us understand your business, goals, and vision.

Please complete it in full. This ensures your project runs smoothly and efficiently. Note: All our website projects are designed on WIX. Please take a few minutes to read our Policies 

Ki non biznis ou a?

Ki kote biznis ou ye a

Lis sèvis oswa pwodwi ou ofri yo.


Yon ti deskripsyon biznis ou.

Ki sa ki fè biznis ou inik?

Ki moun ki kliyan ideyal ou a?

What is the main goal of your website? Select one primary goal:
Sell Products
Generate Leads
Book Appointments
Showcase Work
Build Brand Credibility

Ki objektif prensipal sit entènèt sa a? (Egzanp: jenere kontak, vann pwodwi, pran randevou, prezante pòtfolyo)

What action should visitors take on your website?
Purchase A Product
Book A Consultation
Contact You
Join Email List

Ki aksyon ou vle vizitè yo pran?

Do you have a logo? If yes, could you upload your logo, please?
Yes
No

Èske ou gen yon logo?Èske ou gen yon logo? Si wi, èske ou ka telechaje logo ou a, tanpri? Si non, tanpri bay direktiv mak ou a pou konsepsyon ou an.

Ann sipoze ou pa gen yon logo. Tanpri bay kòd koulè pou konsepsyon ou an.

Ki jan ou ta dekri ton mak ou a? (egzanp: modèn, pwofesyonèl, amikal, liksye, minimalist)

What pages/sections do you need?

Ki paj ou bezwen?

Do you have target keywords?
Yes
No

Èske ou gen mo kle sib?

Do you have a domain name?
Yes
No

Èske ou gen yon non domèn?

Tanpri bay lis tout paj medya sosyal pou biznis ou. (lyen sèlman)

On a scale of 1-10, how comfortable are you with managing the Wix dashboard yourself after the handoff?
0-2
2-4
5-7
7-9
9-10

Sou yon echèl de 1 a 10, ki nivo konfò ou genyen pou jere tablodbò Wix la poukont ou apre yo fin transfere responsablite a?

Please email us all your site Copy, biography, Pictures, Product/service descriptions, Prices, and policies. At: Info@rasine.org

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

Mwen konprann ke lè mwen ranpli epi siyen fòm sa a, mwen dakò ke mwen p ap gen dwa sou sit sa a jiskaske mwen fin fè tout peman an.

Before submitting this form, please review and agree to the following:

  • A 50% non-refundable deposit is required to begin your project.

  • All payments are non-refundable once work has started.

  • Projects include a limited number of revisions based on your package (Landing 2, Website 5 page and up 4)

  • Delays in communication may affect your project timeline.

  • No response for 21-30 days will mark the project as inactive and require a restart fee.

  • Full ownership of the website is transferred only after full payment is completed.

  • Communication is only handled via email within 24–48 business hours.

  • Rasine reserves the right to pause or cancel a project if necessary.

  • Rasine reserves the right to request completion of a Credit/Debit Card Authorization Form before starting work, even if your deposits are complete.

Agreement Checkbox (Required):

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