Your Name:

Company Name:

Address:

City:

State:

ALABAMA ALASKA ARIZONA ARKANSAS CALIFORNIA CONNECTICUT COLORADO DELAWARE District of Columbia FLORIDA GEORGIA HAWAII IDAHO ILLINOIS INDIANA IOWA KANSAS KENTUCKY LOUISIANA MAINE MARYLAND MASSACHUSETTS MICHIGAN MINNESOTA MISSISSIPPI MISSOURI MONTANA NEBRASKA NEVADA NEW HAMPSHIRE VERMONT NEW JERSEY NEW MEXICO NEW YORK NORTH CAROLINA NORTH DAKOTA OHIO OKLAHOMA OREGON PENNSYLVANIA RHODE ISLAND SOUTH CAROLINA SOUTH DAKOTA TENNESSEE TEXAS UTAH VIRGINIA WASHINGTON WEST VIRGINIA WISCONSIN WYOMING Zip:

Phone Number:

Fax Number:

Email Address:

Does your company have an existing website? If so, please fill in the URL:

Select Website Design Package You would like to receive quote for:

Select Package Budget Design Start Up Mid Level Advanced   (see website design packages)

1.

What would you like your website to do for you? (Showcase products/services, increase sales, reduce advertising cost, distribute info, provide customer service, attract advertisers, etc.)

2.

What is the purpose of your website?

Information dissemination
Company and/or Product promotion
E-commerce
Other:

3.

Who are your company's closest competitors?
(If they have a website, please provide their url.)

1. URL:
2. URL:
3. URL:

4.

Please give three (3) descriptive words that would reflect your site.

5.

What kind of theme would you like your website to reflect? Are there any particular colors you would like us to use? (Professional, corporate, fun, flashy, bold, wacky, etc.)

6.

What elements will you provide to help create your website? (Company brochures, logos, catalogs, electronic text, pictures, etc.)

7.

Would you like, or do you need, your website to contain any of the following capabilities? (Please check all that apply.)

8.

What is your estimated budget (in U.S. dollars) for this web development project?

0-500 501-1000 1001-2000 2001-3000 3001-4000 4001-6000 6001-10,000 10,000+

9.

Are there any websites you'd like us to view for style references?
(Please list them below and describe what you like about each one.)

10.

Will your website require updating?

Yes   
     Daily
     Weekly
     Biweekly
     Monthly
     Semi-annually
     Annually
No   I'll perform updates in-house,
              but please discuss an updating
              option with me.

11.

Will you be using us for your monthly website hosting?

Yes No

12.

Will your website require Internet advertising?

Yes
     Search engine submissions
     Banner advertising - Email campaigns
     Other Internet advertising services
     Please explain Internet advertising to me
No   But please discuss your search engine                 placement program.

13.

Are you currently using  E-commerce software?

Yes             No     

14.

Are you considering using  E-commerce software?

Yes             No      

15.

Is there anything else you'd like to include that might help give us a better 'feel' for your web project?

16.

How did you find us? (If you were referred by someone, please list their name and email address so that we may thank them.)

Please note that quotes given using this questionnaire are not final. This questionnaire is used primarily as a starting point for us to go by. You'll be contacted promptly by our design team to discuss all the details and features of your web project. After that consultation, a formal project proposal will be produced and the final price determined.

Please press the submit button only once. Once your questionnaire has been submitted you'll automatically be redirected to our portfolio page, so you may view samples of our work.