Please take a few moments to complete the questionnaire as fully as possible .
Contact Name*
Job title
Contact email address*
Telephone number (including area code)
How would you prefer to be contacted regarding this enquiry?
By email By telephone I don't mind
Name of Company or Organisation
Postal Address
What is the nature of your business? Briefly describe your products or services:
Is your organisation a registered charity ? (We offer reduced rates for charitable organisations)
Yes No
If yes, please provide your charity number
Do you have a company logo? Yes No
If yes, is it available as a digital image?
What type of project are you proposing?
Develop a new website Replace/redesign an existing website Enhance an existing website
If you have an existing website, what is the address ?
If you do not yet have a domain name, we can assist you with registration and setup. Please list the domain name(s) you are interested in:
What is the purpose of your website ? (choose all that apply)
Personal Business Marketing Selling products/services online Increase brand/company awareness Providing Information Intranet Other (please list below)
Approximately how many pages will your website consist of?
I'm not sure - I would like to discuss this with you 1 - 5 6 - 25 26 - 50 Over 50 (Please Specify)
How often will the website be updated?
never daily weekly monthly 2 - 3 times a year 4 - 6 times a year 7-10 times a year annually
What features do you want for your website?
I'm not sure - I would like to discuss this with you Site Search Registered Members Area. Login/Logout Functions News Page On-line retail (e-commerce) Secure Financial Transactions Shopping Cart Database integration Discussion Forum Content Management Streaming Audio / Video / Music Chat Room Other: please describe below
Who is your target audience?
What messages do you want to convey through your website?
How will you measure the success of your website?
Who will provide the copy (text) for the website?
The Client Lopez Shackleford 3rd Party
Who will provide the graphics and images to be used on the website?
If you have an idea for a theme or colour scheme you would like for your site, please describe it here.
To help us to understand your individual preferences, please provide up to 3 addresses of websites that you like, considering layout, colours, site-navigation, graphics, etc.
Site 1
Describe what do you like about the above website?
Site 2
Site 3
If you are planning a retail site, please describe the products and services you wish to sell online
What other services do you require?
Website hosting Domain name registration and set-up Email accounts Site maintenance contract Consulting Services
Please Provide any additional information you think feel might be relevant
How did you hear about us?
Referral Internet Search Newspaper Ad We are a current client Other - Please Specify :
To confirm you are not an automatic spam-bot, please answer the following question with 'yes' or 'no' (You MUST complete this box)
Are you a spam-bot?
Note: The information you provide to us through this form will be treated in the strictest confidence. It will be used only for the purposes of quoting for services requested. For further information see our privacy policy.
Please don't worry if you are unsure of the answers to some of these questions, these can be discussed later.
