What is the best way to contact you? Phone E-mail
What is your current Web site address?
Do you have a host for your site, Yes No and if so , whom are they?
Why do you want a Web site and what would you like it to do for you?
Do you have a budget for this site/project? yes no
Do you want to sell something on this site, and if so, what?
Do you have a merchant account for this site? yes no
How do you plan to advertise this website?
Is the site already planned out and flowcharted? yes no
Do you have a logo, yes no and if so, do you have an electronic version? yes no
What is your time-frame/deadline for this project?
Please list any additional information that you feel may be useful in assessing your needs, like URLs that you like or of your competition, concerns you have about this project, etc.