Questionnaire
 
Your Name
Email Address
  What is the intended purpose or use of your Web site? [required]
(check all that apply)
  Provide information
Sell products online
Provide customer service
Other (please specify):    
  Do you have your own domain name?
(e.g. www.yourcompanyname.com)
 

Yes
No, but I would like one

What is your domain name (please specify): www.

  What colors best describes your site layout? [required] 
 

Black
Burgandy
Blue
Green
Silver
Yellow
Purple
Orange
Brown
Other (please specify):    

 
  Approximately how many pages does your site include? [required]
  1-9
10-19
20-99
100+
I do not have a website yet
  What features does or will your site need? [required]
  Calendar
Contact Forms
Data Base
Picture Gallery
e-commerce
None
Other (please specify):    
  When do you need your site to be live? [required]
  ASAP
In two weeks
In one month
In two months
Other (different timeframe or date):
   
  Approximately what is your monthly budget for site hosting? [required]
  $0-149 (typically Shared Web server space)
$150+ (typically Dedicated or Co-located server)
  Do you have a site that you would like to resemble? [required]
 

Yes
No

What is the website address (please specify): www.

   
   

 
  Please describe in detail any additional requirements you may have (details about your site, how much traffic you will be receiving, etc)
 
Note: There is a 1,000 character limit for this answer.