Nature
of business / products
and services you provide?
What
best describes your
current needs?
select
one...
HTML Web
Site Design
Flash Web
Site Design
HTML Web
Site with Flash
Elements
New eCommerce
Web site
Web Site
re-design
Data Base
Driven Web Site
Existing
site needs new features
Need web
hosting only
What
is the purpose of
your site?
select one...
Internet
presence
Attract
local customers
Broaden
customer base
Convey an
image
Provide
information
Sell a product(s)
online
Sell information
Collect
user demographics
Publish
a newsletter
Other
Roughly
how many pages will
the site have?
select one...
1 to 3 Pages
5 to 10
Pages
10 to 15
Pages
15 to 20
Pages
20 to 30
Pages
30 to 40
Pages
40 to 50
Pages
50 to 70
Pages
80 to 100
Pages
100 or more
pages
Other
services desired:
Short-Term
goals for your site?
Long-Term goals for
your site?
When
would you
like to
have this
project
completed?
select
one...
less
than 2 weeks
2
to 4 weeks
1
to 2 months
3
to 4 months
5
to 6 months
6
months or
more
What
is the range
of your budget?
select
one...
Don't
Know
less
than $2,500
$2,500
to $4,500
$4,500
to $6,500
$6,500
to $8,500
$8,500
to $15,000
$15,000
to $25,000
$25,000
to $35,000
$35,000
to $45,000
over
$45,000
Additional
Comments
/ Web Site
Performance
Capabilities
