[ Number of Questions: 10  ~  Average time to complete: 1 min, 10 sec ]
1) Are you interested in e-commerce related services (selling products, accepting payments, etc.) or more general Web design work?
E-commerce related services
   
General Web design services
 
2) What type of Web site design services are you looking for at this time?
  Design of an entirely new Web site
Complete redesign of an existing Web site
Maintenance or upgrade to an existing site
Other (please specify):
   
 
3) Will you be providing any of the following content or materials to the Web site design firm?
  No - We are looking for help with every aspect of our Web site
Yes - We will provide copy/text for our Web site
Yes - We will provide images/graphics for our Web site
Yes - We will provide layout/site map for our Web site
Yes - We will provide audio/music for our Web site
 
4) What is your total estimated budget for this website design project? 
 

 

   $300-999
$1,000-1,499
$1,500-2,499
$2,500-4,999
$5,000-9,999
$10,000+

Please note: Please be aware that very small and simple Web sites typically start around $300. More complex sites with advanced features and highly customized design typically start around $1,000.
5) Would you like us to handle ongoing Web site maintenance? 
  Not sure - Please advise
Yes - We would like you to handle ongoing maintenance
No - We would like a third party handling ongoing maintenance
No - We will handle ongoing maintenance ourselves
 
6) When would you like the Web design project to start?
  ASAP
In two weeks
In one month
In two months
 
7) If you are looking to upgrade or redesign your current Web site, please indicate the URL:
   
(i.e. www.mywebsite.com)
8) Have you already registered a domain name for this Web site?
    Yes
No
 
9) Have you already arranged for hosting services for this Web site?
    Yes
No
 
10) Please describe the intended focus of this site and any additional requirements you may have (e.g. advanced features needed such as streaming audio/video, database, secure pages, etc.).
 
You're almost done! If you have answered all of the required questions above, then just complete this lower half and send your request.
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Your Company Information  
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Street Address:   
City:  
State / ZIP:    

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