District of Columbia
Zipcode / Postal Code
Antigua And Barbuda
Bosnia And Herzegowina
British Indian Ocean Territory
Central African Republic
Cocos (Keeling) Islands
Congo, The Democratic Republic Of The
Croatia (Local Name: Hrvatska)
Timor-Leste (East Timor)
Falkland Islands (Malvinas)
French Southern Territories
Heard And Mc Donald Islands
Holy See (Vatican City State)
Iran (Islamic Republic Of)
Korea, Democratic People's Republic Of
Korea, Republic Of
Lao People's Democratic Republic
Libyan Arab Jamahiriya
Macedonia, Former Yugoslav Republic Of
Micronesia, Federated States Of
Moldova, Republic Of
Northern Mariana Islands
Papua New Guinea
Saint Kitts And Nevis
Saint Vincent And The Grenadines
Sao Tome And Principe
Slovakia (Slovak Republic)
South Georgia, South Sandwich Islands
St. Pierre And Miquelon
Svalbard And Jan Mayen Islands
Syrian Arab Republic
Tanzania, United Republic Of
Trinidad And Tobago
Turks And Caicos Islands
United Arab Emirates
United States Minor Outlying Islands
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis And Futuna Islands
Company Name / Organization
Your Title / Position
Current website address (if applicable)
Is this a site re-design?
If yes, please explain what is working / not working on your current site?
Please give me a brief overview of your business. What do you do? or what do you want your new business to do?
What functions will your new website serve? Please click all that apply.
Do you have a time frame or deadline to get this site online?
Do you have a budget for this project? Building a website can take all kinds of forms and sizes. This question helps to separate the “must-haves” from the “future additions.”
Who is your target market? Describe your potential clients.
(Age, gender, interests, demographics, etc.)
Why do you believe site visitors should do business with you rather than with a competitor? What unique service will you provide?
What action(s) would you like site visitors to perform after visiting your site? Please click all that apply.
Content Pages on a website can be thought of as similar to chapters in a cookbook, each with a different subject. What pages do you imagine your site will need? (This is just the first brush. Further discussion may expand or reduce this list.) Here are a few common choices. Click all that apply.
List any other pages you may need on your websites' main menu.
Do you have the written content and images/photographs prepared for these pages? If not, who will be writing the content? If you need my help in gathering high-quality, copyright-free images, please let me know so I can include that in my estimate.
Will you need my editing/proof-reading services as part of this job? Please note that before any real design work or site construction can begin, an outline of the content and preferably all of the content will be needed.
What first impression are you hoping to create for people visiting your site for the first time?
Are there corporate colors, logo, fonts, etc. that should be incorporated?
If you do not already have a logo, will you be getting one designed?
Please include links of 3 websites that you like and comment on what you like about each site. For example, the look and feel, functionality, colors, etc. These do not have to have anything to do with your business, but could have features you like.
How do people find out about your business right now?
Do you have any social network accounts such as Facebook, Twitter, Instagram, etc? Do you want links to those accounts on your site? Please list the URLs below.
Do you have a mail service account (Constant Contact, MailChimp etc.)? If not, will you need one?
If someone were searching for your product/service, what types of search terms (single words or phrases) might they use? Please list all the possible search terms you can think of.
Do you already own a domain name(s)? (i.e. www.examplesite.com). If you do not have a domain already, what name(s) would you like?
If yes, who is the domain registrar, and do you have your login details?
Do you have a hosting account already (this is where the actual site files are stored)? If not, would you like my help in setting one up?
If yes, do you have the login information?
Will there be pages that need regular updating? Which ones?
Would you like to be able to do most of the updating yourself? Or are you interested in talking about the maintenance plan I offer?
If you’re planning on writing a blog do you already have several things written? Do you already write on a regular basis?
Are there any features/pages that you don’t need now but may want in the future? Please be as specific and future-thinking as possible.