Fill the Questionnaire

No one enjoys filling out forms, but for your project to be successful I need some information about your website.
This will serve as the starting point in developing your Website!

Personal Info

Company Name *

Your Full Name: *

E-mail:*

Phone Number *

State * Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Optional:

Skype Username:

Describe your project

Launch date (e.g. 08/05/2008)

Is your launch date fixed or flexible? Fixed Flexible

Site desired Brand new Site Re-design of an existing website Maintenance or upgrade Template Design only Other, contact me.

Project Budget $500 - $800 $1000 - $1499 $1500 - $1999 $2000 - $2999 $3000 - $4999 Other. Please, contact me.

Describe briefly your dream website. (e.g. Number of columns, color...)

What is the primary purpose of the site? (e.g. To make a sell, to make an inquiry, to show your portfolio...)

How many pages are required? Could you list them all? e.g. Home, About, Portfolio, Contact...

If E-commerce, how many products will you sell? Less than 50 products 50 to 100 products More than 100 products Don't know yet

URL of Web sites you like
e.g. http://site.com

Competitors URL
e.g. http://competitor.com

Additional Comments

Web hosting information

Current Web site URL
(if applicable)

Domain Information Need to Register a Domain Already have a domain Don't know, contact me Not Appicable

Website Hosting Information Need help me to find a host Already have a Host Don't know, contact me Not Applicable

Additional Comments

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