Website Questionnaire / Enquiry Form

*Indicates required data. Please fill them in.


Contact Person Details Contact Information
Suffix *Phone
*First Name * Email
*Last Name  
*Address
*City
*Country

Type of website desired  
Medium Business
Corporate Site
General Information
Redesign Existing Website

If redesigning, please list the website URL (http://www.domainname.!):

Will you require maintenance for your site?
Yes
No
Not Sure

*Please check and include from the examples below the types of information you require in your our web site:


Home/Introduction Page
Service Information Page/Pages
About you/your Company
Product Information Page/Pages
"Printable" Order Form Page
"Online" Order Form Page
Guestbook
"What's New" Page of Your Website Updates and Announcements
"FAQ's" Page for Your Viewers
Tips , Hints or Useful Information Page/Pages
Contact Details Page
Autoresponder to answer e-mail automatically
Dynamic photo gallery
Other (please describe below:)
 
If other selected, please describe here...

Will you be providing the actual "content" for your website, or will you need us to write it for you?
Yes, I will provide all the content
No, I need you to write it.

*What products or services does your company provide?

*Please select us to know the budget you have in mind for this project in USD - $.

Indicate below some specific examples of web design you've seen and liked. Please list the website addresses .

What Audience do you hope to Target?

Other comments or questions:

What is your desired implementation time frame?
4 weeks
6 weeks
2 Months