|
First Name:
|
|
|
Last Name:
|
|
|
Company Name:
|
|
|
address:
|
|
|
City
|
|
|
State:
|
|
|
Zip Code:
|
|
|
Email Address:
|
|
|
Phone:
|
|
|
Fax:
|
|
|
Current website address if you have one?
|
|
|
Is this a NEW site to be designed, or a re-design of an existing site?
|
New
Redesign
|
|
If this is Redesign, enter the URL of the site to be redesigned:
|
|
|
Enter deadline finish date if any:
|
|
|
What is the nature of your website?
|
|
|
Have you seen a site that you would like yours to resemble? Type in the site address:
|
|
|
Approximately how many pages do you anticipate the site having? TIP: Divide into categories to determine the estimated number of web pages. Example: Home, Contact, Products, Services, Product Category(s), Order Form=6+ pages
|
1-4 pages
5-10 pages
11-20 pages
21-50 pages
50+ pages
|
|
What would you like to accomplish with an on-line presence? (Check all that apply.)
|
Entertain
Sell
Improve Customer Relations
Improve Customer Service
Grow my business
Provide employee information
Foster employee relations & teamwork
|
|
Other:
|
|
|
Appearance Options/Color or Design Preferences
|
Strictly Professional, clean
High Tech, modern
Whimsical or Playful
Victorian or Old Fashioned
Vibrant, dynamic
Elegant, classic
I will leave that up to the designer upon my approval
|
|
Or Describe in your own words your preferences.
|
|
|
Check all that you want to include on your site? Please check all that apply
|
Separate contact page; put all your contact info in one place. Add a feedback form
Add a guest book
Gallery of photos or projects
Company profile page; about the company
Photo(s) of business exterior/interior; building, shop
Photo(s) of employees/staff
Separate product page
On-line catalogue
Shopping Cart - Accept credit card payments on your site
Photos of products or services
Database
Members Only/Log-in; requires web site visitor password
Video/Media
Search Capabilities
Content Management Capabilities
Members login
|
|
If you have products to sell, how many products?
|
|
|
If you want an online catalague, how many categories?
|
|
|
If you chose photos, approximately how many?
|
|
|
Would you like to include forms on your site?
|
yes
no
|
|
Do you want background music on your site with an option to stop the music?
|
yes
no
|
|
Slide Show or Virtual Tour?
|
yes
no
|
|
What is your budget for this project? Please note: Answering this does not determine the maximum pricing of your web site but allows us to work within your budget.
|
|
|
|
