Name

Company

Address

Address Line 2

City State Choose a State AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NY NC ND OH OK OR PA OR RI SC SD TN TX UT VT VA WA WV WI WY

Zip Code

Phone: Area code Extension

Fax: Area code Extension

Cell: Area code

E-mail:

Current Website:

I want to: (check all applicable)

Have a website designed

Have a design done for print. (If you are interested in both a website and print design, complete this form first, then after you submit it, you will have the opportunity to go on to complete the print worksheet. If you are not interested in website ddesign at this time, click here to be taken directly to the print worksheet.)

Part B - Website design

1. I do not have a website at present I do have a website but I want it redesigned, or to create a new one.

2. If you presently have a website, please provide the internet address:

Can you provide information on the user name, password and host of your current website once we begin the design? Yes No

3. If you presently have a website, please describe why you want to change it or have a new one. Describe whether it functions satisfactorily for you; whether you just want to change the look of it; whether you want to expand it; or any other information that will help us understand why you want to redo your current site.

Do you presently have a domain name? Yes No

I would like to use the following domain name, if it is available:

.com .net .org .edu .biz .info .museum

Part C. Purpose of website

5. Please describe what you want a website to do for you: (check all that apply and use the text box to include any additional written explanation)

Marketing, advertising

Increase business identity

Because my competitors have a site

To sell products online

To provide customers with information about the company

To post a calendar of changing or upcoming events

To provide product information online (e.g., product manual)

To reach a wider geographic market

To generate more business from my local market

To provide contact information, directions or maps to my business location(s)

To provide changing content, e.g. an online newsletter

To provide company news online

To provide information, photos to the media (newspapers, etc.)

To publicize a particular event

To provide information on something personal (e.g., wedding, birth)

To showcase some artwork, photos, jewelry etc.

Please use this box to describe any additional reasons for wanting a website:

Part D. Target audience

6. Who is your target audience for your website? (check all that apply)

Local customers

Customers in my immediate geographic region

Customers across my state

National customers

International customers

Both male and female Mainly females Mainly males

All ages Mainly children Mainly teens Mainly adults Mainly seniors

7. Do you think most of your customers are technically knowledgeable about computers and use up-to-date technology?

Yes No Both types Don't know

8. What do you expect or hope will happen when someone visits your website? (please describe)

Part E. Online purchases

9. Do you want customers to be able to purchase something online, such as ordering products, or signing up for services or classes?

Yes No I'm not sure yet

If so, do you presently have (or by the time the site is launched, will you have) a merchant account with one of more credit card companies?

Yes No

Do you want to consider using PayPal for online purchases? (PayPal is free. It does not require the purchaser to have a credit account nor does the seller need to have any credit card accounts. It provides a secure way for sellers to receive payment for online purchases. Click here to learn more about PayPal usage for sellers.)

Yes No Maybe

Part F. Web site design considerations

10. Please list here some websites, from the same or similar business as yours, that you like, and describe what you like about them:

11. Please list here some websites, from the same or similar business as yours, that you don't like, and describe what you don't like about them:

12. Please list here any other websites that you like, and describe what you like about them:

13. Please list here other websites that you don't like, and describe what you don't like about them:

14. Do you have a logo you would like to use? If so, do you have a good quality digital or scannable print copy of the logo that can be used for your website?

Yes, I have a logo No, I don't have a logo right now

Yes, can provide a good digital or scannable print copy of my logo to use.

15. Do you have a color scheme in mind? (you can describe colors generally - such as warm or cool, suitable for children, dark or light, pastels or bright; and you can state specific colors or color schemes. Any information you can provide us will help us design the web site to your liking.)

Do you have a "look and feel" you'd like your website to create? Check off any of these characters or concepts you would like your site to convey: (check all that apply)

Old-fashioned Traditional Been in business many years

Modern High tech Appeal to children

Quality Reliable Knowledgeable

Soothing Exciting Energetic

Eclectic Ethnic Grunge

Ghetto New age Ancient

Spontaneous Fun Folksy

Urban Country Conservative

Business-like Industrial Funny

Mysterious Feminine Masculine

Soft Hard Natural

Patriotic Personal Arty

16. Which of the following types of web pages do you think you would like to have? (check all applicable)

"Splash" page

Home page

About the company/company history

Contact information (address, phone etc.)

Directions to my location, or map, or link to online map site

Description of products I sell (If so, do you want photos of those products? Yes No )

Allow people to purchase products or services online

A calendar page or list of events that will be updated periodically

A description of my company staff (If so, include photos? Yes No)

Company news or newsletter that will be periodically updated

Information for the press - press kit, articles, photos they can download

Brochures or booklets that people can download

Product manuals that people can download

Inquiry or contact form

Order form

Other - please describe:

Part G. Budget and maintenance

17. Do you have a budget to create a new or redesigned website?

Yes, it is about $ No, not yet.

18. Who from your company will be the primary contact for approval of website design?

Name Phone

19. Once the site is complete, do you expect that it will be periodically updated or changed?

No Yes, regularly (On what frequency: weekly? monthly? seasonally? other?

20. Who from your company will be responsible for any updates and changes?

Name Phone

21. Do you want someone in your company to be able to do updates for you? Yes No

Part H. Extras

22. Do you want an animated "splash" page (such as a Flash introduction)? Yes No

23. Do you want any animations elsewhere in the website? If so, describe generally what kind of animations you have in mind:

24. Do you want to add any sound or video to your website? If so, describe:

25. How important is it that your web site be found by users searching through search engines such as Google, Yahoo or others?

26. Are there other sites you would like your site to link to, or other sites that will link into your site? Describe generally:

27. Include any other information here that is not addressed above:

Part I. Schedule

28. Do you have a target date by which you'd like your website to be up and running?

29. Do you have photos or artwork you'd like to include? Yes No

If yes, describe briefly what you'd like to include, and indicate whether you have digital or good quality scannable images that we can use. Also please advise if you want to include images for which you will need to get a copyright authorization (that is, images to which you do not own the copyright or license).

I will need you to provide me with some photos or artwork, or to take some photos for me.

30. Do you have written content that you want to include? Yes No

If yes, describe briefly what you'd like to include, and indicate whether you have or can provide the text in digital format (such as a Microsoft Word document). Also please advise if you want to include images for which you will need to get a copyright authorization (that is, images to which you do not own the copyright or license).

Thank you for completing the web worksheet! Click the button below to submit it to us, and we'll get back to you shortly to give you a cost estimate, or follow up with further discussion. After you submit it, if you'd like also to explore a print project, you'll have the opportunity to go to our print worksheet!