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