Client Questionnaire

Title

First Name *

Last Name *

Email Address *

Company *

Cell Phone Number *

Web Address

Describe the site’s desired look and feel by using adjectives and short phrases:

Have you seen any sites that you would like to model yours after? (enter URL below)

Standard pages on a web site usually consist of: About Our Company, Customer Service Information, Privacy Policy, Products and Services Overview, Contact Information, etc. Approximate number of pages:

Who will supply the Page Text Content ?
I will write the text content
I would like you to write the text content for my site

Do you have an existing logo?
Yes
No
I would like you to create one

Attach File (100Mb Limit *)

Are there any colors you had in mind to incorporate into the site?

Please check the following interactive forms that may benefit your company:
Information/request forms
Shopping Cart
Blog
RSS Feed
Content Management System
Live Chat
Customer Survey/Polls
Registration/Customer Log-in
Discussion Forum
Searchable Databases
Newsletter/E-mail list sign-up
Calendar of Events

Are you interested in developing your site with any Special Features? If so, what are your interests:
Flash
Streaming Audio
Streaming Video
Uploads
Testimonials
Downloads
Image Gallery
Portfolio
Map
Online Payment

We offer a Web enabled administration system which empowers the client to manage their web site's content in-house using their Web browser. Is this feature of interest to you?
it's a must-have!
not necessary - products/content will not need to be changed often
Undecided

Are you interested in Site Perception hosting services?
Yes
No

Other Comments:

Enter Word Verification in box below *

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