Website Design Questionnaire Thank you for your interest in working with us. Please fill out as much information as possible about your website project so that we can better understand your needs. Once this form is filled out we will set up a phone or Skype call session to go over your project. A 'Save and Continue Later' option is available at the end of the form should you want to save what you have filled out and continue later.Contact InformationFull Name* First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Email* Phone*What is your preferred method of contact? Email Phone Company InformationName of Business Does your company have a tag line? Yes No What is your company tag line?Briefly describe the products/services your company offers:Does your company have a website? Yes No What is your website address (URL)?Website GoalsWhat is the purpose of your new Website?What message do you wish to convey to your audience?What do you want your site to accomplish? Check all that apply: Improve company/brand awareness Increase product/service sales Provide entertainment value Build community awareness Act as a medium for internal company communications Share information with visitors Other - please explain: What do you want your site to accomplish - Please ExplainLook & FeelWhat color schemes do you prefer?Are there any colors you definitely do NOT want?Does your company utilize any required colors?Will you be providing photographs/images to be used on your website? Yes No Do you have any trademarked/copyrighted logos/artwork that must be used? Yes No Example Website URLsPlease provide URLs (Website addresses) of 3 sites that you find Visually Appealing:Please provide URL (Website addresses) of 3 sites that you feel have a Good User Interface (navigation, etc):Please provide URL (Website addresses) of 3 of your Competitor sites:Your Target AudienceWho are your customers, your target audience? (For whom the site will be built):Please indicate what geographic areas you would like to target? (For example, local cities, international, etc.):Please indicate what demographic markets you would like to target? (For example business size, male, female, age group):Do you have a secondary target audience? (For example, “Investor Relations”): Yes No Please describe your secondary target audience:Site Map/Navigation MappingList the primary navigation items:To the best of your ability, list the primary navigation items you would like included in your site. These might include Services, Products, Company, News, Resources etc. Below each of these, list the sub navigation items (pages) you would like displayed. For example, under the Primary heading “Company” you might have child pages such as About Us, Management, Jobs, Our History, etc. Please note, we do not base our cost estimate solely on the number of pages your site will contain, so be sure to list any and all that you MIGHT want.Home page elements:For the HOME page, please let us know if there are any special elements you’d like included, such as a newsletter sign up form, or if there are consistent elements you’d like displayed on every page, such as Promotions or News. Do you have a preference for the navigation placement? Whatever works best for the site design Left side navigation Top navigation Based on your target audience, what resolution would you like the site designed for: Whatever works best for the site design Fixed width (i.e. 800x600 or 1024x768) Not sure What are the 3 main areas of the site that you would like visitors to view?For example, Quotation page, Contact Us page. Site ContentIs the content (copy) for the Website already developed? Yes No Do you plan on adding new content? Yes No Who will be providing the content?Do you need professional copywriting services? Yes No Website FeaturesWhat features would you like included in your Website? Ecommerce/Shopping Cart Password Protected Area Newsletter Catalog Discussion Forums Site Search Capability SSL Encrypted Area Email Link Order Form Live Customer/Tech Support Job Application Form Feedback/Contact Form Member’s Only Area MultimediaAre you interested in integrating any of the following services into your Website? Video Power Point to Video Animated Tag Lines Audio Flash Animation Domain NamesDo you currently have a domain name? Yes No What is your domain name?Would you like help choosing/registering one? Yes No Web HostingDo you currently have a web hosting provider? Yes No Are they meeting your requirements? Yes No Do you know what platform your host offers? Unix Windows Do you plan on maintaining your own Website? Yes No Website PromotionWhat other marketing mediums do you use? Print ads Radio TV Bulk mailing Other Please listAre you interested in a Search Engine Optimization program? Yes No I want to learn more Are you interested in an Email Marketing program? Yes No I want to learn more For example, monthly/quarterly eNewsletters* and/or eAdvertisements?TimelineWhen do you want to begin this project? MM slash DD slash YYYY When do you want this project to be completed by? MM slash DD slash YYYY Is there an event that you wish to coordinate the launch of your site with? Yes No For example, a trade show or a new product.Please describeWhat is the date? MM slash DD slash YYYY Additional InformationPlease use this area to share any additional information that will help us understand your goals and objectives for your new website. This will also help us develop a comprehensive proposal for you.If you click 'Save and Continue Later' you will be taken to another page where you can enter your email so that a link to the saved form will be emailed to you. EmailThis field is for validation purposes and should be left unchanged.