Company name (Required)
What is your current or intended URL (Website address)?
Do you want us to register this domain name for you? Yes No
Contact person (Required)
Email Address (Required)
Telephone Number (Required)
Cell Number
Fax Number
Is this an existing website that needs to be re-designed? (Required) Yes No
What is the reason for the redesign? (E.g. Outdated, new information, improved functionality etc.) (Required)
What elements of your current site are successful?
What elements of your current site are unsuccessful?
Please explain your requirements in your own words.
What budget is assigned to this project?
Do you require web hosting? Yes No
When would you like to launch the site? (YYYY-MM-DD)
How are you currently marketing your offering?
Do you already have a logo and identity? Yes No
What do you want people to do on your site? (Required) e.g.: subscribe, purchase, make enquiry, download files etc.
Do you need copy (textual content) written for your site? (Required) Yes No
Do you require images to be created/photos taken? (Required) Yes No
Do you require a database? Yes No
Do you require secure transactions? Yes No
How often will the site need to be updated and who would be responsible for this? (Required)
Would you like a copy of this questionnaire to be emailed to you? Yes No
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