Tech Guy Fred Information Form

It’s useful for me to have some background information. Please complete this form as best you can and I will email you to schedule a phone conversation.

1. Your Name (required):

2. Your Email (required):

3. Your Primary Website URL (required):

4. Briefly describe your business:

5. What Do You Want Your Website to Do?

6. Describe your Tech/Web Management Challenges:

7. Describe your Tech/Web Management Goals:

8. Where is your DOMAIN Registered? : (Check one):
 GoDaddy HostGator Domain.com DomainRegistry.com NameCheap.com Not Sure

8b. Other Domain Registry: Please specify:

9. Your PRIMARY WEB HOSTING PLATFORM : (Check one):
 GoDaddy HostGator BlueHost Lunar Pages Not Sure

9b. Other Web Hosting: Please specify:

10. If you use AUTORESPONDERS on your websites, please check any that you currently use:

 AWeber OfficeAutoPilot Infusionsoft 1ShoppingCart MailChimp iContact Constant Contact GetResponse IContact DAP Other

10b. Other Autoresponder System: Please specify:

11. If you use PAYMENT/SHOPPING CART SYSTEMS on your websites,
please check any that you currently use:

 1ShoppingCart OfficeAutoPilot Infusionsoft ClickBank PayPal Authorize.net Ultracart Zencart Nanacast DAP Yahoo Store Google Checkout 2Checkout PracticePay Other

11b. Other Payment System: Please specify:

12. If you run a MEMBERSHIP SITE, please check any software you currently use:

 Wishlist Member DAP Kajabi CustomerHub iMember360 MemberPress Paid Membership Pro (PMPRO) Other

12b. Other Membership System: Please specify:


13. Phone (required):

14. Skype:

15. Best Times to Speak (required):

 Morning Afternoon Early Evening (before 5 pm) Evening (5 pm - 9 pm)

16. Your TIme Zone or Location (required):

17. Do you consider yourself more of an extrovert or an introvert: (optional)  Extrovert Introvert Neither Not Sure Not Applicable

18. How Did You Hear About Me:

19. Additional Comments/Questions:

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