Name:
Company Name:
Address Line 1:
Address Line 2:
City:
State:
Zip:
Daytime Telephone:
Nighttime Telephone:
E-mail:

1. Please select all web page elements that you will want to include on your web site.

	Welcome page		Members only page
	Newsletter page		Locations/ Directions page
	Web Log/ Online Journal		Daily/ Weekly updats
	Career opportunities page		Frequently Asked Questions (FAQ) page
	About the Company page/ Bio		Resources/ links page
	Contact page		Mission statment page
	Services page		Site Map
	Calendar or schedule of events		Database
	Photos page		Animations
	Bulletin Board		Submit my site to search engines
Other		Other
Other		Other

2. Do you currently have a corporate logo and/or corporate image that you want to incorporate into the web site?
Yes No
If you do have a logo, is it available to us in digital format (.JPG, .GIF., .TIF)?
Yes, available in digital No, must be scanned
If you do not have a logo, would you like us to create one for you?
Yes No

3. Do you have photos you want included?
Yes No
If so, are they available in digital format (.JPG, .GIF, .TIF, etc.)?
Yes, available in digital No, must be scanned Combination
Approximately how many photos?

4. Please answer these questions about your company.
What does your company do / produce?
What demographics does your company hit?
What is the main function of the company Webpage?
E-commerce Information Graphics / Artistic Portfolio Other

5.To better understand the style of the site, please answer these questions on the technology that will be used in the site.
Do you want a Flash intro to your page?
Yes No
Do you want a:
Flash only site (may include Flash, XML, PHP, MySql)
HTML only site (may indude XML, PHP, MySql, CSS, JAVAScript, XHTML)
Combination Flash and HTML site

6. Now, think about the style and presentation of your site.
What are your 3 favorite colors?
Color 1:
Color 2:
Color 3:
What are your 3 favorite fonts?
Font 1:
Font 2:
Font 3:
Do you have content written for your Webpage already?
Yes No
How would you divide your content into 3 or more categories?

Is the content of your page going to change often?
Yes No
Do you have any design / style / color / layout ideas that you would like me to incorporate into your webpage?

7.Do you currently have a domain name for your web site (such as www.mywebsite.com)? If so, list the domain here.
Domain Name
If you do not have a domain name, please list your top 3 choices for domain names here, so I can check the availability.
1.
2.
3.

8. Do you currently have a web hosting provider?
Yes No
If so, please provide the following contact information for your provider:
Provider Company Name
Contact Person
Phone Number
E-mail
Would you like me to arrange Web Hosting? Yes No

9.Can you give me the web addresses for other web sites you particularly like, and tell me why you like them? This will help me to get an idea of your tastes and what you might be looking for.

Site:		Why I like it:
Site:		Why I like it:
Site:		Why I like it:
Site:		Why I like it: