Website Evaluation

Thank you for your request for custom web design. Please fill out the form below to give us a better idea of what your company is looking for in web design. This will help us to refine your quote and give you a timeline for completion.

Company Name:

First Name

Last Name

Address 1

Address 2

City

State

Postal Code

Phone

Email Address

Current Website:

What is the purpose of developing or redesigning your website?

Online Store (50 products or less)

Online Store (more than 50 items)

Informational Site (no online sales)

Personal Site (friends/family)

Other

Who is your target audience?

What colors appeal to you for your site?

What type of image or 'look' do you want site to convey? (select as many as needed)

What information do you want to collect from your visitors?

What do you like from other sites that you may like to incorporate in your site? (please use URL so we can view site) Explain below and attach link to sites:

Do you have graphics you would like to use in site?

Yes

No

Do you want custom graphics?

Yes

No

Do you need help creating a logo?

Yes

No

What features would you like? Check all that apply:

What is your budget for your website?

Please list up to 20 KEYWORDS for search engines like Google to help find your site:

What is your target launch date for website?

How often will you make changes to your website?

How well do you understand website development?

How much input do you want to give?

Do you currently own a domain name? (www.DOMAINNAME.com)

Yes

No

What is your domain name - or what would you like it to be?

If you have a domain already, what is your login?

Password?

Please use this space for any other comments, ideas, or questions you may have about your website.

Quote Info

By using the data above we will be able to give you a more accurate quote that fits your needs. Website development starts at $150 for one page with additional pages at $50 each. Additional features like shopping carts, forms, surveys, monthly maintenance, and blogs are in addition to basic website features. All graphics provided by customer must be copyright free and a signed release form will be provided. No work will begin without a $150 deposit. By clicking submit below, you agree to our Terms of service. (http://www.siteimpressions.com/index.php?spg=13)

Indicates Response Required

Purples	Greens	Blues
Oranges	Yellows	Blacks/Grey
Reds	Other

Useful	Professional	Intellectual
Inviting	Hi-Tech	Fun
Warm	Family	Conservative
Funny	Bright	Academic
Other

Welcome Page (product/service info)	Logo / Banner
About Us Page	FAQ Page
Contact Page	Video
Shopping Cart	Music
Banner Ads	Chat
Graphics	Form (feedback)
Other: