Name:

E-mail:

Phone:

Company:

1. Who is your primary audience?:

2. What is the purpose of the web site?

3. Is this site for a (select only one): Business Personal Use

3a. What does your company do?

3b. What types of products/services do you offer?

3c. What is your mission statement?

3d. What are your objectives?

3e. Who are your competitors?

3f. How does your company differ from your competition?

3g. Are there things about your competitor's site(s) that you like or dislike?

4. What type of look and feel do you envision for your site?

5. Are there existing web sites (designs) that you like?

6. If you completed marketing efforts in the past, do you have materials you can share?

7. Select at least 5 descriptive words that you want people to think of after visiting your web site.

8. What type of pages do you want to include on your web site (select all that apply)?

      Flash Intro Home Page Affiliates Page Products Page Services Page Events Page Contact Us Page Other

9. Is this web site an extension of an existing site? YES NO

10. What else does your site require?

11. If you require web hosting, for how long?

      1 month 6 months 1-year 2-years unknown

12. Are you interested in securing maintenance for your web site? YES NO