1. Do you already have a web site?

Yes No

If Yes, please provide the web site address:

If Yes, Do you require a quote for redesign of your web site?

Yes No

2. Have you registered domain name/names?

Yes No

If Yes, please list the addresses:

If No, please indicate the desired domain name/names

3. Select the option that best describes the purpose of your web site:

Online version of company and product/service literature

To sell your products/services via an online shop

Other

4. Describe the target market of your web site?

5. Will your company provide most of the text content?

Yes No

6. Will the graphics be provided by you? e.g. logos and photos

Yes No

7. Do you require pricing for promotion of your web site?

Yes No

8. Do you require pricing for ongoing promotion of your site?

Yes No

9. Do you want the site to include? (Check as many as necessary)

Email response forms
Web site statistics
Content Management system
Customer email list
Discussion Forum
Product Database
Credit Card Processing
Animation / Interactive Media
Guestbook

10. Do you require pricing on web site hosting?

Yes No

11. How many pages of information do you expect the web site to contain?

12. Please provide information on how you wish your site to look. If you have examples of particular web sites that are good examples of the style of site you desire then please list them here.

13. Please give an estimated budget for your web site.

No budget $250-500 $500-1000 $1000-2000 $2000-5000 $5000-10000 $10000 +
AU$
US$

14. Please provide any other relevant information here. You might include information on the type of products and services you are selling or any other functionality you would like to include in the site.

If you are requesting a redesign you may like to outline which aspects of the site you are looking to improve.