| Contact Name |
|
| Company Name (if applicable) |
|
| Address |
|
| City |
|
| State |
|
| Zip |
|
| Phone |
|
| E-mail |
|
| Best time to contact you |
|
What industry is your
business? |
|
Who is your target audience
for this website? |
|
Do you currently have a
website? |
|
If yes, what is the address? |
|
What is the desired
completion date of the
website? |
|
What is the purpose of the
website? (informational,
sales, ecommerce,
customer service, etc.) |
|
List any websites on the
internet that you particularly
like (layout, content,
features, etc. ) |
|
Which pages would you like
included on your site?
(use comment section
to detail) |
|
Total number of pages in
website |
|
Do you have a color scheme
in mind? If yes, please detail. |
|
Do you have any font
preferences? |
|
Do you have any background
preferences? If yes, please
detail. |
|
Do you have your logo in
electronic format? |
|
Are you interested in having
a logo designed for your
company? |
|
Do you have the content
written for the site? |
|
Do you have the images/
graphics you wish for the
site? |
|
What is the overall
impression you want to
give your visitors?
(elegant, fun, professional,
high quality
merchandise, etc.) |
|
Do you have a web host? |
|
Are you interested in learning
about web hosting and/or
domain registration service? |
|
Do you have a domain name
purchased already? |
|
If no, what domain name(s)
are you interested in (if
available)? |
|
Which of our design packages
are you interested in, if any? |
|
What is your current budget
for this project? |
|
Additional comments or
information? |
|
|
|
|
|
|