# 1. Your contact details (Required*)
*First Name:
*Last Name:
*Email Address:
*Primary Phone:
# 2. Name of business or organization?
Business Name/Organization Name:
# 3. How many planned site pages and/or groups of pages do you have in mind?
Number of Pages:
Please enter numbers only.
# 4. Would you be interested in having us design/redesign your company logo?
Logo Creation:
No thank you, that's ok for now.
Yes, add 1 designer 1 revision to my estimate.
Yes, add 4 designers unlimited revisions to my estimate.
Yes, add 6 designers unlimited revisions to my estimate.
Hummmm, I'm not sure yet.
# 5. What is an approximate number of graphic images you would like to include on the web site?
Number of Graphics:
Please enter numbers only.
# 6. If you don't have any images and will need us to provide images for your website? Approximately how many images would you like us to use?
Company Provided Images:
# 7. Will the site need a form allowing site visitors to contact you for information?
Needs Forms:
# of Forms:
# of Form Fields:
No, Website doesn't need form(s)
Yes, Website needs form(s)
# 8. To prevent spam, will any of the above forms need captcha scripts which ask to type in a seriers of letters and numbers before they submit the forms? If so, please tell us how many forms you would like scripted in this fashion.
Captcha Scripts:
# 9. Will the site need a map; i.e. Google Maps, Bing Maps, Yahoo Maps, allowing site visitors to get directions? if so, for how many business locations?
Direction Maps:
# of Locations:
No, my website will not need a map.
Yes, my website will need a map
#10. Will the site be selling anything? If so, please describe the type and number of products, and tell us as much as you can about how you'd like your shopping cart and checkout process to function.
Ecommerce Capable: # of Products:
No, Website will not sell products
Yes, Website to sell products
Shopping Cart Details:
#11. Do you plan to include galleries; i.e. image, video or audio galleries, on your site? If so, please describe it below.
# of Galleries:
Total # of Gallery Items:
#12. Do you plan to include a flash animated intro on your site? If so, please describe it.
Flash Intro:
Flash Intro Type:
No
Yes
N/A
7 Second Flash Intro
15 Second Flash Intro
39 Second Flash Intro
#13. Do you plan to include flash banner animation, audio or video on your site? If so, please describe it.
# of Flash Banners:
# of Music Tracks:
# of Video Files:
#14. Would you be interested in having an Expert Marketing Strategist assist you with your marketing efforts?
Expert Marketing Assistance:
No thank you, that's ok for now.
Yes, please critique my website content only.
Yes, please edit my website content.
Yes, please write and provide my website content.
Yes, interested in monthly retainer of an expert marketing strategist.
#15. What level of Search Engine Optimization would you like to incorporate throughout your website?
Search Engine Optimization
None, don't add any search engine optimization techniques
Basic, please include basic search engine optimization techniques.
Aggressive, please include aggressive search engine optimization techniques.
#16. Do you currently send monthly newsletters through a company? If so, would you like us to link your newsletter sign up form with that system?
Newsletter System:
Newsletter Integration:
No, I don't send monthly newsletters out through a company.
Yes, I do send monthly newsletters out through a company.
N/A
Yes, please link together.
No, don't link together
#17 . Would you like to add Google Anaylitics which tracks all sorts of statistics, including website traffic sources and number of visits?
Google Anayltics:
Yes, add Google Analytics to my website.
No, don't add Google Analytics to my website.
#18. Would you like to add Facebook Like Buttons which allows users to share your pages with their friends?
Facebook App:
No, dont add Facebook Like buttons to my website.
Yes, please add Facebook Like buttons to my website.
#19. Are you interested in Content Management Systems?
Content Management Systems:
If so, # of CMS Pages
Yes, our website will need a content management system.
No, our website will not need a content management system.
#20. What is your time frame for producing and launching the site?
Time Frame:
ASAP
1 -2 Weeks
Within a Month
In 2 Months
Not Sure
#21. Please give us a sense of your budget for the web site. If this is difficult, please at least provide a low and high figure.
Approximate Budget:
$0 - $500
$501 - $800
$801 - $1100
$1101 - $1500
$1501 - $2000
$2001 - $2500
$2501 - $3000
$3001 - $4000
$4001 - $5000
$5001 - $6000
$6001 - $8000
$8001 - $10,000
$10,001 -$15,000
$15,001 - $20,000
$20,001 - $30,000
$30,000+
#22. Are there any special requirements in regard to access for the disabled?
Accesibility Features:
No, Website will not feature special requirements
Yes, Website will feature special requirements
#23. Please tell us anything else we need to know about the planned web site.
Other Considerations:
