General information:

Name: (required)

Business Name:

Street Address:

City: State:

Email Address (required)

Phone Number (required)

Tell us a little about your business:

Tell us a little about your clients (demographic,target audience)

What growth opportunities do you see for your business related to the internet:

How many people are in your organization?

Do you anticipate wanting a site with content that is updated regularly?
Yes No

Do you have someone in your organization who handles IT?
Yes No

Does a content management system sound like it would help you more effectively manage your online presence?
Yes No

Do you have a domain name?
Yes No

Web site design:

Do you have a website design that you are happy with?
Yes No

Do you have a logo and color scheme that you are happy with?
Yes No

Do you have any brochures or other publicity material you would like for us to use as reference material for your look and feel?
Yes No

What type of pages do you need? (home, about, links, contact,etc)

Approximately how many pages, total, do you have for your site? Including articles, pdf's, main pages, etc.

Do you plan to provide the images for the site?
Yes No

Do you plan on providing the copy for the site?
Yes No

Web programming

What kind of functionallity do you want to have. Please check all that apply.
Ecommerce
Basic Informational
Social Networking (blog, forums, calendars, etc)
Customer Support (contact, chat, troubletickets, etc)
Multi-Media (video, audio, flash, etc)
Mailing Lists or Newsletters
Other Functionallity

If you have other functionallity you would like that is not listed above, please describe it here.

Do you see expanding your online presence and functionality down the road? If so, How?

Search Engine Optimization (SEO)

Are you familiar with SEO?
Yes No

Do you want to employ SEO?
Yes No

If you currently have a website, have you employed SEO for it already?
Yes No

Questions

If you have any other questions or comments, please put them here. Thank you.