Website Needs Analysis

This preliminary form takes less than two minutes to complete.
Providing this information does not obligate you in any way.
The more detail you include, the better we can recommend your most effective options.

Contact Information
Your Name: Phone Number:
Business Name: Email Address:
Street Address: Best Time To Call:
City, State, Zip
Technical Information
Do you have a domain name? No
Yes		 Please list all registerd domains:
Do you have a web host? No
Yes 		Hosting company if known.
Website Needs
Who will manage your site? Myself
Employee
Website Developer		 What is the primary purpose of your site? a. To provide information about my business.
b. Sell Products and/or Services online.
c. Custom Application (Database Website)
d. Other
I would like site visitors to: a. Order products online
b. Learn more about my business
c. Call on the telephone
d. Email for more information
e. Fill out a form like this one. 		What's more important? Search Engine Traffic
Service Existing Customers
Both
Do you need credit card processing? Yes
No
Not Sure 		Which of the following statements best describes the website have in mind. a. Website must look impressive to visitors.
b. Simple basic information site.
c. Both
Have you seen a site you like? If Yes please list
 What is your budget for website development? a. $1000-$2500.
b. $2500-$5000.
c. $5000-$10000
d. Shoot the Moon!
Any other information you wish to include.
Business Information
Business Type: Corporation
Sole Proprietor
Home Based Business 		How many years in business?
How many employees?
Name of CEO or Owner:
Who referred you? We want to thank them!

We respect your privacy.
Your name and e-mail address will NOT be made public or shared with others.
Any other information you choose to share with us will be kept strictly confidential.

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