Name First

Name Last

Email Address

Phone

COMPANY / ORGANIZATION

YOUR TITLE / POSITION

CURRENT WEBSITE URL

OTHER WEBSITE URL

WHAT ARE YOUR PRIMARY GOALS FOR THIS WEBSITE? Ex – (“inform people of our services” • “attract potential customers” • “get people to call us” • “get people to sign up” • “get people to donate to our cause”)

WHAT CALL-TO-ACTIONS SHOULD BE ON THE SITE? Ex – (call, purchase, sign up, donate)

WHAT TYPE OF FUNCTIONALITY WOULD YOU LIKE TO SEE? Ex – (blog, events, picture galleries, etc)

HOW MANY PAGES DO YOUR FORESEE IN THE INITIAL DEVELOPMENT? Ex – (4-5, home, about us, contact us, our services)

DO YOU CURRENTLY HAVE A DOMAIN NAME AND A HOSTING PLAN IN PLACE? If so, what company - if not would you like us to setup hosting and domain for you?

WILL YOU OR ONE OF YOUR STAFF WANT TO EDIT PAGES OR MANAGE THE SITE? WILL YOU OR ONE OF YOUR STAFF WANT TO EDIT PAGES OR MANAGE THE SITE? YES NO

IF YOU’D LIKE TO EDIT, UPDATE OR MANAGE THE SITE, WHAT’S YOUR TECHNICAL SKILL LEVEL? IF YOU’D LIKE TO EDIT, UPDATE OR MANAGE THE SITE, WHAT’S YOUR TECHNICAL SKILL LEVEL? I don’t know too much about computers and would need a lot of direction. I’m capable but would need some clear direction. I’m advanced and can learn very quickly.

PLEASE PROVIDE ANY OTHER FEEDBACK OR COMMENTS THAT’LL HELP US IN CREATING A PROPOSAL!