What kind of business do you operate?
Choose One
Not Applicable
Retail
Professional
Medical
Educational
Service-Oriented
Do you already have a website?
What are your Website goals? (please check all fields that
apply)
To establish a web presence for my
business and let people know my business exists. To sell products/services directly
from my site
To
generate prospect leads for my business
Other - Please Specify:
If you plan to sell products/services directly from your
site, are you already a merchant, able to accept credit card orders?
Yes No
If you plan to sell products/services on your site, how many
products do you have to sell?
Under
5
6 - 20
21 - 50
51 - 100
Over 100 (please specify) :
What kind of design work do you require? (Please check all
that apply):
Website
Hosting
Website Design
Website Redesign
E-Commerce
(Shopping Cart or Secure Ordering)
Webcasting
Integration
Database Development
Website Advertising
Flash Design
Logo Design
Audio or Video Files
Copywriting Assistance
Other - Please Specify:
Tell us what you want on your site, specifically!
a) Number of pages (if known):
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
b) HTML design only Yes No
c) Flash design only Yes No
d) Integrated HTML and Flash
Yes No
e) No idea what I need! Yes No
f) Other requirements? Describe in detail:
What is your level of interest in getting started?
Not serious at all
Somewhat serious
Very serious!
List three website addresses that you have found
that best demonstrate the type of site you would like designed for your business.
These addresses can be from a related or separate entity from your business. Areas to take
into account are its navigation, layout, topics to include, amount of content on a web
page and site as a whole, its graphics and overall functions.Site 1:
Site 2:
Site 3:
Can you provide all content (text) for the site
by email or on PC disk?
Yes No*Any text content you may have about
your company or messages will greatly determine that the correct information is presented
in the quickest manner possible. Content from business plans, brochures, employee manuals,
handbooks and previous advertising are all great sources to use. This is the most
important aspect of establishing your presence in the shortest period of time possible.
Especially if it can be presented to us in computer .txt format on floppy or zip disk.
Do you have desired images in print or computer
generated form? Existing photographs and artwork from previous advertising are good
sources.
Yes No
Do you currently have a rough copy of a
computer-generated logo that can be emailed or a version that can be mailed to us in
either print or disk form?
Yes No
Will you want graphics work created for your
website?
Yes No
How soon do you need this site developed?
Now 30 days 60 days 90 days No Idea*Note: Depending on the complexity of your
needs, design can take days or several weeks. Good design takes time so it's not a good
idea to wait till the last minute to put plans in place. Ultimately, development
time depends on the complexity of your project, and the number of current projects in
development. If you need the site by a certain date, we will need to know this now,
otherwise once we fully understand your needs, we can check and let you know what time
frame is involved.
What is your company's current color
scheme? List up to three colors that best encompass your company's current logo or
decor theme. If you currently do not have one, what colors would you like used? Try to be
as specific as possible with your color description if you happen to know what it is (e.g.
Rosemary Red instead of just Red).
What is your approximate ballpark budget for
site development:
Make a Selection
$1,000
Under $2,000
Under $3,000
Under $4,000
Under $5,000
Under $10,000
Under $15,000
Under $20,000
Under $25,000
Under $30,000
Under $35,000
Under $40,000
Under $45,000
Under $50,000
Under $100,000
Over $100,000
*NOTE: Design can cost hundreds of dollars, or
thousands of dollars, we can provide more on target suggestions if we know something of
what you can afford. If you won't provide a budget then it's very unlikely we'll be able
to accurately assist you.
Is there anything else you care to share which
would enable us to assist you better? It's helpful if you can briefly state the purpose
of, or describe the message you want to convey through your website in 350 words or less.
How Did You Find Us?
Please select
Alta Vista
Excite
HotBot
Infoseek
Lycos
Webcrawler
Yahoo
Other Search Engine
Cable TV
Email
Newspaper
Referral
Word of mouth
Yellow Pages
Other Not Listed
Contact Information
NOTE: Fields with " * " are required to be filled out.