Client/Company Name:
Contact Information
Name of the person responsible for overseeing your participation in the website development:
Email address of the person responsible for overseeing your participation in the website development:
Phone number of the person responsible for overseeing your participation in the website development:
Name of the person who has final approval on the project. If this is a Board of Directors, please list “Board of Directors”:
Email address of the person who has final approval on the project:
Phone number of the person who has final approval on the project:
Service
Do you need:	A new site Redesign an existing site
What type of site do you need?	eCommerce Business/Company Informative Non-profit organization Advertising flier Personal home page Personal event Other
Please describe:
What is your target deadline for having your site available to the public?
Company Information (If this is for a personal site, please skip this section.)
What is your Company’s Objective or Mission Statement? (If you do not have one, what is the nature of your business?)
How do you envision this project supporting your company’s missions and objectives?
How will you judge the success of this project? (What is a “win” for you?)
Purpose of Website
What do you hope to accomplish with this web site? Please select all that apply (press the "Ctrl" key with while left-clicking for multiple selections)	Educate Sell Entertain Survey Answer FAQ’s Generate leads Generate business Forum for discussion Other
Please describe:
Who will your typical visitors to your website be? (This is your “target audience.”) Please list any information you think may be relevant such as age, gender, income, political affiliation, education level, ethnicity, primary language, religion, location, etc.
Budget
Development Budget:
Hosting Budget:
Maintenance Budget:
Promotion Budget:
Domain Name
Do you have a domain name for your site? (i.e.: mydomainname.com)	Yes No
If so, what is the domain name?
Web Hosting
A Web Host is the company that will hold your website files and make them accessible on the World Wide Web. Do you have a current website host or preferred host?	Yes No
If so, who is it?
If you do not have a host, would you like us to recommend one for you?	Yes No
Maintenance
How frequently will this site need to have information updated?
Who will be responsible for updates and for checking the site periodically to make sure it is still working properly? Please list name and contact information.
Content
Do you already know what pages you would like to have? If so, please select all that apply (press the "Ctrl" key with while left-clicking for multiple selections)	A Flash (Movie) Intro Page Services/Products Events Employment Home Registration FAQ Map and Directions Order Form Contact Us Locations About Us eCommerce Portfolio Links Industry News Site Map Other
Are there specific features or effects you would like to include on your website? If so, please select all that apply (press the "Ctrl" key with while left-clicking for multiple selections)	Slide Show Video Clip Audio Files Pop-Up Advertising Animated Graphics Shopping Cart Search Engine Printable PDF pages Business Forms Guest Book Rollover Effects Other
What items do you already have that we can use on your website? Please select all that apply (press the "Ctrl" key with while left-clicking for multiple selections)	Existing Website Content Brochures Newsletters Text on Disk Fliers Photographs Forms Database Other
Would you like us to design custom graphics, logos, or create/find digital images for you?	Yes No
If yes, please specify.
Style
Choose three to five adjectives you would like the style of your site to express (press the "Ctrl" key with while left-clicking for multiple selections)	Professional Sophisticated Conservative Fun Friendly Casual Progressive Serious Classy Easy Experts Humorous Service-oriented Other
Select any visual elements or styles that MUST be utilized from existing materials (press the "Ctrl" key with while left-clicking for multiple selections)	Logo Letterhead Key phrases Colors Typeface (font) Other
Colors
Do you have a preferred color scheme for your website? Please select all that apply (press the "Ctrl" key with while left-clicking for multiple selections)	Company’s logo colors Blues Greens Yellows Oranges Reds Purples Black & White Autumn hues Winter tones Spring colors Summer colors Bold Metallic Neon Muted Pastel Earthy Ocean Other
Inspiration
Are there any websites that have a look and feel you admire? If so, please list their domain names (i.e. http://www.etouched.com) and identify the particular features you find most appealing.