XoomIM Website Questionnaire
RequiredRequired Question(s)
1.
Please enter the information indicated below.

By entering my personal information, I consent to receive email communications from the survey author's organization based on the information collected.

First Name:
Last Name:
Job Title:
Company Name:
Work Phone:
Email Address:
emailaddress@xyz.com
Address 1:
Address 2:
City:
State/Province
(US/Canada):
Postal Code:

2.
Website Domain
 

50 characters left.
3.
What is your role in the decision-making process?
Researcher
Recommender
Team Member
Final Decision Maker
Other  
  • Comment:

  • 500 characters left.
Required 4.
Project Timeline
Urgent (1-2 Months)
Priority (2-6 Months)
Longer Term (6+ Months)
Other  
  • Comment:

  • 500 characters left.
Required 5.
Project Budget
$10,0000.00+
$7,000.00-$9,500.00
$5,000.00 - $9,000.00
$2,000.00 - $4,500.00
Less than $2,000.00
Other  
  • Comment:

  • 500 characters left.
6.
Do you have the website's content ready? (Text, Pictures, Videos, etc.)
YES
NO
Some Text Content but need pictures and Videos
  • Comment:

  • 500 characters left.