First Name: *

Last Name: *

Email Address: *

Phone Number: *

Company/Organization: *

Your Title/Position:

Current Website URL:

Other Website(s) URL: (If Multiple Sites)

WHAT ARE YOUR PRIMARY GOALS FOR THIS WEBSITE? *

WHAT CALL-TO-ACTIONS SHOULD BE ON THE SITE? *

WHAT TYPE OF FUNCTIONALITY WOULD YOU LIKE TO SEE? *

HOW MANY PAGES DO YOUR FORESEE IN THE INITIAL DEVELOPMENT? (PLEASE DESCRIBE THEM) *

DO YOU CURRENTLY HAVE A DOMAIN NAME AND A HOSTING PLAN IN PLACE? * DO YOU CURRENTLY HAVE A DOMAIN NAME AND A HOSTING PLAN IN PLACE? * Yes No

WHAT IS THE NAME OF YOUR HOSTING COMPANY? *

WOULD YOU LIKE WEBSCAPE GURU TO HOST YOUR SITE? * WOULD YOU LIKE WEBSCAPE GURU TO HOST YOUR SITE? * Yes No

WILL YOU OR ONE OF YOUR STAFF WANT TO EDIT PAGES OR MANAGE THE SITE? * WILL YOU OR ONE OF YOUR STAFF WANT TO EDIT PAGES OR MANAGE THE SITE? * Yes No

WHAT’S YOUR TECHNICAL SKILL LEVEL? * WHAT’S YOUR TECHNICAL SKILL LEVEL? * I don’t know too much about computers and would need a lot of direction. I’m capable but would need some clear direction. I’m advanced and can learn very quickly.

DO YOU HAVE A BUDGET IN MIND? * DO YOU HAVE A BUDGET IN MIND? * Less than $1000 $1000 - $2999 $3000 - $5000 Over $5000 Budget? What's a budget?

WHAT'S YOUR DEADLINE? * WHAT'S YOUR DEADLINE? * Less Than 6 Months 6 - 12 Months 12 + Months

PLEASE PROVIDE ANY OTHER FEEDBACK OR COMMENTS THAT’LL HELP US IN CREATING A PROPOSAL