Bold items are required.
A. Tell Us About Your Business.
Your Business Name:
Your main products/services.
Your target customers.
Do you have your business logo designed?
Yes No
Your current website address if you have one.
Select what most accurately applies to your needs.
Select most accurate
Develop & host a "New Public" Web site and Email
Transfer & host an existing Web site and Email
Develop & host a "New Internal" Web site and Tools
Other Needs - Please Describe below
If you select "Other", please describe:
B. Your Competitors:
What do your competitors do better than you?
What do you do better than your Competitors?
List some of your major competitors websites.
C. The Purpose of Your Website:
Select the major purpose of your website
Select major purpose
Bring in New Clients/Customers
E-Commerce
Educational, Training or Instructional
Extend Marketing Reach
To Offer Information
To Launch Your Internet Presence
Other Purpose - Please Describe below
If you select "Other", please describe:
How would you best describe your Web site use? (Example: Travel Agency)
D. Timeframe and Budget:
What is your website design budget?
What is the desired timeframe for the development of this website?
E. Basic Website Structure:
A typical website structure contains the pages in the list below.
Highlight the pages you want included on your website by pressing the shift or control (Ctrl) key and clicking to highlight more than one option.
Home (every website has one)
About Us
Catalog of Products/Services
Clients - a list of your Clients
Company Profile
Contact Us
Privacy
Site Map
Products/Services Area
Recent Projects Area
References/Resume/Portfolio
Support Area
Samples
Testimonials
F.A.Q.s
If you would like to include other pages not listed above please describe them below.
What is the estimated number of pages your Web site would have or currently has.
Please describe the key features that you have or want in your Web site. (Example: Video hosting, online purchasing, private customer section, etc.)
F. Dynamic Web Page Functionality:
Please highlight which functionality you envision your website to have. Press shift or (Ctrl) key and click to select more than one option.
Content Management System
Store/Online Shopping/Order Tracking
Online Forum
Photo Gallery
Automatic email confirmation
Chat room
Forms for inquiry, registration, booking
Guestbook
Password Protected Area
Video/Audio Streaming
Recent event/promotion page
News Feeds RSS
Email newsletter sender
Other. Describe beolw
If you would like to include other page functionality not listed above please describe that functionality below.
G. Optional Services that may Benefit You:
Do you already have a domain name?
Yes No
What is the domain you have or are interested in?
Do you want somebody to write your website content?
Yes No
Do you want search engine registration?
Yes No
Do you want your web pages to be optimized for search engines?
Yes No
H. Can You Provide These Elements?:
For development purposes, would you be able to provide us with high resolution images/photos/logos?
Yes No
Will you supply photos for scanning?
Yes No
Will you provide all content for your website?
Yes No
Do you have existing material for your website like brochures, CDs, video and flyers?
Yes No
I. Please Give Us Your Contact Information:
Contact's First Name:
Contact's Last Name:
Contact's Title:
Phone Number 1:
Phone Number 2:
Contact's Email Address:
Contact's Fax:
What contact method do you prefer?
Additional Information/Comments/Questions: