WEBSITE
DESIGN QUESTIONNAIRE
By providing the following information, we
can focus on a web presence that is relevant to your particular
needs. Therefore, if you need a quote for website development, please
be as specific as possible. Note: We will not take any action with
this information until you have schedule an introductory meeting.
Privacy Notice:
Any information sent to WinterWebDev
will NOT be sold or shared with third parties. |
Contact Information
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| First
Name: |
Last Name:
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| Company: |
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| Address
#1: |
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| Address
#2: |
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| City: |
State:
Zip:
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| Country: |
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| Telephone
Number: |
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| Email
Address: |
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| Current
URL: |
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Questionnaire
The short questionnaire that follows
will take a few minutes to complete and is designed to help you focus
your ideas on the content of your site, or what you want it to achieve.
Initial consultation is free, and you'll be under no obligation. Information
you provide will be held in the strictest confidence and will never
be passed to any third party. |
| Website
Used for: |
Business |
Personal |
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Non-Profit Organization |
Other |
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Family |
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| The
Purpose For Creating Your Website:
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To Sell Products or Services Directly on the
Internet |
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To Entertain |
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To Inform |
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To Promote, Advertise, Market, or build name recognition on the Internet
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To Distribute resources, information, products, etc.. |
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To Research/Report information |
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Other: |
Function
of the Site:
e.g. a first line of information for potential clients/customers -
a shop window, or a source of additional information not readily available
elsewhere? |
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Marketplace:
Please describe your marketplace and your intended audience.
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| What
style or theme represents your business? |
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| Note:
If you can provide web ready graphics on a disk, it would help to
hold your cost down. If we develop original graphics or logos it will
add to your cost. In contrast, if you can provide promotional text
on disk that is to be placed on the site, it would help reduce your
cost. |
| Artwork,
Graphics & Text - Please Check all those that apply:
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I can provide my own company logo |
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I can provide all the written copy for my web pages |
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I can provide "web ready" graphics, photographs, artwork, etc. on
a computer or floppy disk |
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I'll need some assistance with the graphics, photographs and artwork |
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I'll need some help writing the copy |
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I'll need all new graphics, photographs, artwork & text |
| Check
the items that you think might apply to your website:
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Guest books for visitors to record comments |
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Custom Forms or requests for miscellaneous information. |
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Surveys Forms of customer preferences |
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On-line order forms (Non Secure) |
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On-line order forms (Secure for credit card processing, etc.) |
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Online 'Shopping Carts' or other forms of e-commerce |
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Sound, Video or Audio files |
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Animation (Gif, Flash, Macromedia, etc.) |
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Dynamic HTML programming |
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Database Integration & Ordering |
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Java Applets |
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Java Scripts |
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Cascading Style Sheets |
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Special CGI or Perl Scripts |
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Other, please contact me. |
| The
"Big Picture" |
1st
Choice: Domain Name: |
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| 2nd
Choice: Domain Name: |
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| 3rd
Choice: Domain Name: |
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| Estimate
Number of Pages: |
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| Desired
Completion Date: |
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| Press
to send this form now or
to clear this form & start over. |
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