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your contact information

NOTE: we respect your privacy and will treat all correspondence as confidential.
* = required field

* your name
company name
* e-mail
telephone
fax
website http://
 

your website's purpose

What is your immediate
goal for this website?

What is your long-term
goal for this website?

What is the purpose
of this website?
 
Check all that apply
blogging
customer service
e-commerce
informational
marketing campaign
networking
personal
promote a business, product or service
public relations
web presence
other:
 
Please rate the following
in regard to its importance
to your website.
most
important
1

important
2
less
important
3
not
important
4

 
na
promote brand and image
obtain visitor information
promote a product or service
sell products online
receive payments online
create a distinct web presence
search engine placement

What type of visitors would you like your website to attract?
 

your website's content

What will be the nature of the website's content?
 
Check all that apply
contact information
directions
corporate or business information
employee information
employment information
list of services
portfolio
photo or movie presentation
testimonials
news/public relations
products/catalogue database
order form
feedback form
discussion forum
sell banner ad space
links to other sites
other:
 
Who will develop the
content for the website?

Who will update the content?

How often do you plan
to update the content?

Who will provide the
graphics/photographs
for the website (if not us)?
 

personal preference

What type of colors, user interface, layout and look appeals to you?

What are your favorite websites and why?

Please list the site links.
One per line

What are your least liked websites and why?
 
Please list the site links. One per line

technical information

What interactive applications will your website require?
 
Check all that apply
flash animation
video
audio / sound
forms
database
privileged areas
client maintenance access
other:
 
Will you host your website internally, use an existing host, or like us to host your site?

Does your company own a domain name?
If not, would you like us to help you acquire one?
 

other information

What is your target budget for this project?

When is your target date
for your site to be live?

additional comments/needs?

 

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Susabella, Inc. 2033 2nd Ave. #1906 • Phone: 206.956.4473 • Fax: 206.203.1595 • info@susabella.com • Copyright 2007