1. What kind of website do you want? (check all that apply)

eCommerce
Charity/Non-Profit
Entertainment
Music
Art
Multimedia
Personal
Restaurant/Food
International (Multiple languages with instant translations)
Other

2. Pictures

Do you have pictures for your site?

Will you need more pictures taken for your site?
Yes
No

3. Written materials

Do you have any text written up for your site that you can supply?
Yes
No

Do you have any brochures or printed material that can help in designing your site?
Yes
No

Do you need help writing text to put on your site?
Yes
No

4. Video

Do you have any video that you want people to view on your site?
Yes
No

Do you need video shot for you to have on your site?
Yes
No

Are you trying to sell a video or need a video to sell on your site?
Yes
No

5. Music/Audio (includes music, interviews, your voice, etc.)

Do you have any music/audio that you want people to listen to on your site?
Yes
No

Do you need music/audio recorded or mixed to have on your site?
Yes
No

Do you have any music/audio tapes or CDs that you want on your site?
Yes
No

Do you need a CD or tape made to sell on your site?
Yes
No

6. Domain Name/Hosting

Have you registered a domain name for your site?
Yes, it is
No

If you have registered a domain name for your site, where did you register it?

Have you gotten hosting for your site?
Yes
No
Not sure

If you have gotten hosting for your site, where is the hosting?

How many unique visitors do you expect to come to your site per month?
1 - 1,000
1,001-5,000
5,000-20,000
20,000-100,000
100,000+
No idea
As many as I can get

7. Website Updating

Will you have a need for functionality to update your site without outside help?

Yes and I’m highly computer literate
Yes, but I’m only moderately computer literate, however I can web surf comfortably
Yes, but I’m not comfortable on the web
No, but my site should need no updating
No, but my site should only need occasional updating
No, but my site will require a lot of updating

If your site needs updating, how would you prefer to update it?

I prefer to have a web designer do it
I prefer to do it on my own and won’t need any help doing it
I prefer to do it on my own but will probably need help learning how to make changes

8. What is your preference of the following for your site, ranking from 1 to 5
(1 being most important and 5 as least important)

Cost of Designing Site/Hosting
Original/Unique and/or Flashy/Eye-Catching Design
Ease of Use/Well Organized
Ability to update/edit site easily on your own
Getting as many visitors as possible

9. Approximately what is your budget for your site?

10. Anything you want to add that will help describe your needs or wants from a website?

 

First Name:

Last Name:

Street Address:



City:
State:
Zip or Postal Code:
Country:
Tel No (xxx-xxx-xxxx):
Cell Phone (xxx-xxx-xxxx):
Fax No (xxx-xxx-xxxx):
Email: