WEB CLIENT SURVEY
Name:
Company:
Street Address:
City, State, Zip:
Phone:
Email:
Do you have a domain name?
Yes
No
Current URL:
Do you have web hosting?
Yes
No
Site Purpose:
Informational
E-Commerce
Both
Site Preferences:
Shopping Cart
Photo Gallery
Forum
Event Calendar
Splash Page
Video(s)
Guestbook
Poll(s)
Flash Animation
Logo Design
Other:
Specific Details:
Color Scheme:
Demographics:
Anticipated monthly visitors:
100 - 500
501 - 2,000
2,001 - 10,000
10,000+
Ages:
16 - 20
21- 34
35 - 50
50+
Male
Female
Both
Websites you like:
1.
2.
3.
Is your site content avaiable?
Yes
No
Further detailed description:
Desired completion date:
Select a budget range:
$500 - $1,000
$1,000 - $1,500
$1,501 - $2,000
$2,001 - $3,000
$3,001 - $4,000
$4,001 - $5,000
$5,001+
