Ada Widget Questionnaire Client Contact Name* First Last Email* Phone*Company Owner Name (If different) First Last Website* Legal Company Name* Legal Company Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Company Default Email*For Accessibility Statement Company Phone*For Accessibility StatementPlease Choose a Widget Icon*Icon list is in the same order as picture Bold Letters - Capitalized Letters - Capitalized Letters - Camel-cased Wheel Full Standing Person Upper Body of Person Dark Gear Three Toggle Settings Person in Wheelchair on Laptop Person Pushing off in Wheelchair Main Brand Color to be used for Widget* If you know the HEX Code of the color you want to use, add it here. If not, please give link and description of the color you want to use. (Example: the green used in the Google/Clutch bar on https://thriveagency.com) Background Color for Widget* This color is for the background of the widget area. It can be the same as the widget or can be a contrasting color. If you know the HEX Code of the color you want to use, add it here. If not, please give link and description of the color you want to use. (Example: the green used in the Google/Clutch bar on https://thriveagency.com) Widget Location* Left - Top Left - Bottom Left - Center Right - Top Right - Center Right - Bottom Icon Size* Small Medium Large Icon Shape* Round Square Mobile Widget ConfigurationDo you want widget on mobile?* Yes No Widget Location* Left - Top Left - Bottom Left - Center Right - Top Right - Center Right - Bottom Icon Size* Small Medium Large Icon Shape* Round Square Estimated Pages On Your Website*Please Choose...1,000 unique pages1,001 to 10,000 unique pages10,001 + unique pagesAverage Visits Per Month* Any additional Information NeededBy Checking this box, you confirm approval for Thrive Agency to add a comment at the bottom of the widget that states "Web accessibility provided by Thrive Agency."* Yes, I approve I would like to discuss more before approving. EmailThis field is for validation purposes and should be left unchanged. Δ ShareTweetPinShare
