If you want to see how we can help you build your web site, just send us your completed questionnaire. Please don't feel like you need to answer every question before you send it in! You can start by answering the ones you are most clear about, and we can work on the other questions together.

General Information

Name:*
Company:
Address:
City:
State:	Select a State Alabama Alaska Arizona Arkansas California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip:
Phone:*
Alt. Phone:
Fax:
E-mail:
Current Web Site, if Any:

Goals

What is the mission or purpose of your business or organization?
Do you have a tag line? If so, what is it?
What is the purpose of your web site? What do you intend to accomplish with it?
Do you want people to: (check all that apply)
	Learn more about your business or organization?
	Hire you to perform a service?
	Buy products from you?
	Join your organization?
	Communicate with you?
	Become part of an online community?
Other:

Target Audience/Community

Who is your target audience or community? (Age, gender, interests, locality)
Who is your competition?
When people visit your site, what do they want? (check all that apply)
	Information about a topic
	Information about your products, services or organization
	To be entertained
	To comparison shop or to buy a product
	To connect with others of similar interests
Other:

Image & Style

The visual metaphors, graphic design and color scheme of your web site will communicate volumes to the visitor about you and your business.

What IMAGE do you want to project? (check all that apply)
	Traditional		Contemporary		Conservative		Cutting Edge
	Formal		Casual		Serious		Friendly
	Corporate		Personal		Expensive		Affordable
What STYLE do you want to communicate? (check all that apply)
	Serene		Spiritual		Powerful		Professional
	Hip		Classic		Elegant		Funky
	Ethnic		Natural/Organic		High tech		Frivolous
	Fun		Flashy		Muted		Soft
	Playful		Down to Earth		Mellow		Comforting, caring
	Romantic		Sensual		Authoritative		Delicate
	Energetic		Historical		Festive		Fanciful
Other:
Do have any existing graphic or promotional materials?
	Yes		No
Do you have a logo?
	Yes		No
Do you have photos that you wish to use on the web site?
	Yes		No

Content

Do you have an outline of the content for your site?
	Yes		No
Is the content written?
	Yes		No		It’s in process
Do you need help in developing, writing and/or editing the content for your web site?
	Yes		No
If your site outline is done, how many sections do you have, and about how many pages in each section? (One web page equals approximately one 8 1/2 by 11 sheet of paper with double spaced type.)
	Sections		Pages per Section
If your site outline is done, what is it?
If you are selling products, how many will be on your site?
What keywords would someone type into a search engine to find you?

Functionality

What special functions will you need for your web site? (check all that apply)
	Mailing list (announcement only) used to send out announcements or email newsletters
	Message board or forum
	Contact, subscription, survey or feedback forms
	Shopping cart		Merchant account
	Password protection for certain pages
	Site search engine		E-cards
	Music clips		Video clips
Other:

Promotion

Do you have a marketing/promotion plan for your web site? (We can help you develop one, or give you a lot of ideas on doing it yourself.)
	Yes		No		It’s in process		Would like our help
Do you have plans for updating the content of your site or for an email newsletter? (Regularly updating the content of your site gives visitors a reason to return.)
	Yes		No

Timeline / Domain Name & Hosting / Maintenance & Updating

When would you like your web site to be launched?
Have you registered a domain name?
	Yes		No
If you have registered a domain name, what is it?
If not, what domain name are you interested in?
Do you plan to maintain and update your own site?
	Yes		No		Maybe
Would you like us to do that for you?
	Yes		No		Maybe

Other Web Sites

Please list a few web sites that appeal to the same target audience or community, or that communicate an image or style that is similar to what you want.

Please list some of your competitor's web sites, if you know of any. Let us know what you like and don't like about some of these sites.

Related Print Marketing Materials

While we build your web site, we can efficiently provide your peripheral printed promotions. Please check any that you may be interested in.
	Business Cards
	Flyers
	Brochures
	Pocket Folders
	Postcards
Other:

Questions or Comments

Please enter any questions or comments you have for us so we can better serve you.

Verification

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