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? |
|
|
| |
|