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Your Name:

Your E-Mail Address:

Is this for a NEW website design or for a "face lift" of an existing website.
NEW  Facelift
If this is for a NEW website design, will you be wanting your own domain name?(e.g.: WWW.You.com)
Yes  No
Do you have your "Domain Name" registered already?
Yes  No

What type of "Image" are you wanting your website to convey? Please select one:

Please select one which describes the "budget" you had in mind for your website:

Will you be providing the actual "content" for your website, or will you need us to write it for you?
Yes, I will provide all the content  No, I need you to write it.

What type of information will you want to include in your website? Please select one or more:
Home/Introduction Page
Service Information Page/Pages
About you/your Company
Product Information Page/Pages
"Printable" Order Form Page
"Online" Order Form Page
Shopping Cart w/ secure server ability Pages
"Online" Survey Form
Guestbook Installation
"What's New" Page of Your Website Updates and Announcements
"FAQ's" Page for Your Viewers
"Online" Newsletter Page
Tips, Hints or Useful Information Page/Pages
Contest Page/Pages
Links to Related Businesses Page
Awards You've Won Page
Contact Details Page
Comments Form Page for viewers to send their comments to you.
Autoresponder to answer e-mail automatically.
Other (please describe below:)
If "other" selected, please describe here...

Who is your "target" audience?

What "keywords" would describe your website? (list up to 20 & use commas)

Will you need space on the Internet to "host" your website?
Yes  No

Will you want custom graphics for your website?
Yes  No

Will you want "animated" graphics?
Yes  No

Will you need a logo and banner design?
Yes  No

Will you need someone to "update" your website periodically?
Yes  No
If yes, will you need the updates:
Daily  Weekly  Monthly

Will you want "extra" promotion done for your website, ( "submission to other search engines", "submitted to announcement sites")
Yes  No

Is there anything that I have left out of this questionnaire that you would like to include? Please add below:

Please tell me the screen resolution of your monitor,(EX: 640 x 480, 800 x 600 or 1024 x 780) and which browser program you use, (EX: Netscape, MSIE, etc).




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This page is dedicated to all those lost but not forgotten Teddy BearsMohair