First Name
Last Name
Company Name
Email
Phone Number
Will this be a brand new site or do you have an existing one?
Brand new Existing
Please enter the domain(s) you'd like, in order of priority
Website/URL
Do you have the FTP and host log in information accessible?
Yes No, but we'll take care of that on our own No, we'd like to use you for that
Please describe your business in a few sentences. Include comments related to the culture and personality of your business.
What is your company’s mission statement, vision, philosophy, etc.?
What is your company’s reputation?
What is there about you and your background that sets you apart for a special (niche) group of potential customers?
Do you have any competitors, if so, how do you differ?
What is your target audience? Pay special attention to their income, interests, gender, age, even type of computer they use.
Do you have all images that you would like to be included in your website or would you like the designer to use imagery where appropriate?
Yes No, but we'll choose stock photos No, but we'd like your assistance in having some taken
Deadline, timing or exact date of completion for your website.
Do you have a budget you are trying to meet?
Do you need to be able to update the website on your own? (ie: CMS)
Yes No Unsure
How will you be updating the site in the future (if you are not using a CMS)?
Will you be needing an additional SEO help? (ie: registering with search engines, adding businesses to Google Business Center, Analytic setup, etc.)
Yes No Unsure
How do you envision the finished project?
Imagine your website in 5 years from now. Complete the sentence: I know my website works because…
Name 3 things that are most important about the design of your new website.
Name 3 things that are least important in the design of your new website.
Do you have any color preferences, existing brand colors, and/or colors you do/not wish to include?
Please list between 3 And 5 other websites that you like, and tell us why are they attractive to you.
Any specific features you would like included? (ie: Log in ability, calendars, forums, blog, subscription services (RSS, email or newsletters))
Will your visitors require any special needs? (ex: Multiple language support, larger type for easier reading, etc.)
If you are human, leave this field blank.