Design Consultation Form
DATE:
Name
Company
Address
CityZip
Phone
Email
Contact me
Current Website
Do you currently have a website?
Yes No
Do you have any domain names registered that you would like to use?
If yes, what is the URL?
www.
If not, how soon would you like to have a website?
Is there a pending deadline?
Yes No
If yes, what are the schedule requirements ?
About your Organization
Describe your organization and Industry.
(Number of employees, what you sell, services provided, how you get new customers, etc.)
Describe any prior work that you or your staff have done to your website.
Describe the information you have in digital format that you have for your site
(Logo, company graphics, text, databases, pictures of products)
Project
What are the goals of this web project?
Do you have a design preference? (hold down the CTRL key for multiple selections)
What colors do you like?Do you want a two column or three column layout?
Do you want flash?
yes no
Do you want navigation on the right/left/top only?
Are there some websites that you particularly like? List the website addresses below
Where will content for the site come from? Will it be newly created?
Will the site require maintenance/regular updates and do you have qualified staff? What will the nature of the maintenance and additions be?
What features do you think your current customers would like?
What features do you think your prospective customers would like?
What special function requirements are necessary? (hold down the CTRL key for multiple choices)
if selling products, how many do you anticipate selling on a monthly basis?
Are there any special security issues with content you will want to protect?What is the approximate budget for this project?
In order for the site to be viewed on the internet you will need web hosting. Do you need web hosting?
yes no
Are there any other comments?
Optional submission procedures:
Fax 727-954-5299 or mail to:
PFS-WEB | 409 Fan Palm Court NE | St.Petersburg, FL 33703

