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1) What is your email?
2) Which of the following describes your business and web design needs?
		New business - exploring web design options New business - setting web design budget New business - have web design budget Established business - exploring web design options Established business - setting web design budget Established business - have web design budget
3) What type of Web site design services are you looking for at this time?
		Design of an entirely new Web site Complete redesign of an existing Web site Maintenance or upgrade to an existing site Other (please specify):
4) Will you be providing any of the following content or materials?
		No - We are looking for help with every aspect of our Web site Yes - We will provide copy/text for our Web site Yes - We will provide images/graphics for our Web site Yes - We will provide layout/site map for our Web site Yes - We will provide audio/music for our Web site
5) What is your total estimated budget for this website design project?
		$50-199 $200-499 $500-999 $1,000-1,499 $1,500-2,499 $2,500-4,999 $5,000-9,999 $10,000+
6) Who will handle ongoing Web site maintenance?
		Not sure - Please advise Yes - We would like you to handle ongoing maintenance No - We would like a third party hanlding ongoing maintenance No - We will handle ongoing maintenance ourselves
7) When would you like the Web design project to start?
		ASAP In two weeks In one month In two months
8) What is the five digit ZIP code for your office location?
9) If you are looking to upgrade or redesign your current Web site, please indicate the URL:
		(i.e. www.mywebsite.com)
10) Have you already registered a domain name for this Web site?
		Yes No
11) Have you already arranged for hosting services for this Web site?
		Yes No
12) Please describe the intended focus of this site and any additional requirements you may have (e.g. advanced features needed such as streaming audio/video, database, secure pages, etc.).