Your Name (required)

Your Email (required)

WHAT ARE YOUR PRIMARY GOALS FOR THIS WEBSITE?
ie. informational, attract potential customers, get people to call us, get people to sign up, get people to donate to our cause

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

HOW MANY PAGES DO YOUR FORESEE IN THE INITIAL DEVELOPMENT?
ie. 4-5, home, about us, contact us, our services

DO YOU CURRENTLY HAVE A DOMAIN NAME AND A HOSTING PLAN IN PLACE?
if so where?

DO YOU HAVE A BUDGET FOR THIS SITE? IF YES, PLEASE PROVIDE

WILL YOU OR ONE OF YOUR STAFF WANT TO EDIT PAGES OR MANAGE THE SITE?

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 LINKS TO ANY WEBSITES THAT YOU LIKE

PLEASE PROVIDE ANY OTHER FEEDBACK OR COMMENTS THAT’LL HELP ME IN DESIGNING YOUR SITE