GENERAL INFORMATION
Name (*) : State/Province :
Title : Country (*) :
Company Name : E-mail Address (*) :
City (*) : Phone (*) :
BACKGROUND & OBJECTIVES
What does your business do? (*):
 
Size of your company (*) :
Small Medium Large
What are your goals for the site? (*) :
Sell products/services online; approximate number: 
Marketing tool to get new customers/clients
Information resource for current customers
Provide customer service; what type of service? 
      
Services Required (*) :
Design new site; number of pages
Re-design current site
Promote and market site

DOMAIN REGISTRATION & HOSTING
Do you need a domain name registered? (*) : : Yes No
Current Domain Name (URL) :
ex http://www.domain.com
Do you want hosting set up for you? (*) : Yes No

ADDITIONAL SERVICES REQUIRED
Do you accept credit cards? (*) :
Yes No We would like to accept cards
What features (functionality) or services do you want your site to have? (*) :
Shopping Cart; approximate products/services:
Site that uses information from our database. What type of database do you have?
Opt-in Email newsletter or ezine
Collect surfer information for data gathering
Site that surfer can search internally
Surfers can download software or other files
What promotion services would you like? (*) :
Optimize pages so good indexing by engines
Submit site to engines and directories
Improve link popularity
Recommend paid submission/pay-per-click programs

What other marketing services would you like? :
 
SITE LOOK & FEEL

What other sites do you like that are similar to the type of design you want?:

What do you like about them?
 

What do you NOT want on your site?
 

What graphics, photos and other art do you have?
 

What do you like about them?
 

What graphics, photos and other art do you need designed?
 
SITE CONTENT & SCOPE
Will you write the text or will we write it? (*) :
I Write It You Write It
Other information :
What is your design budget? (*) :    
$3500 to $5000 $5000 to $10,000
$10,000 to $20,000 $20,000 to $50,000
Greater than $50,000
What is your marketing budget? (*) :    
$3500 to $5000 $5000 to $10,000
$10,000 to $20,000 $20,000 to $50,000
Greater than $50,000
GENERAL INFORMATION
Do you have a deadline when the site must be completed? :
If yes, when:
Questions or other information we may need :