Inspired Design Pioneering - Hampton Roads Web Design - Radio Audio

Inspired Design Pioneering Online Quote Request and Website Information Worksheet

First Name

Last Name

Company or Business Name

Email

Office Number

Home Number

Cell Number

Good Times To Reach You By Phone (check all that apply)

Monday thru Friday 8a-Noon
Monday thru Friday Noon-6p
Monday thru Friday 6p-11p

Saturday 8a-Noon
Saturday Noon-6p
Saturday 6p-11p

Sunday 8a-Noon
Sunday Noon-6p
Sunday 6p-11p

Mailing Address

How do you prefer to be contacted?

Office

Cell

Home

Mailing Address

Describe your business

Which of the following are you in need of? (check all that apply)

First Time Website

Website Remodel

Basic Updates & Maintenance

Flash Design

Graphic Design

Logo Design

Website/IT Consultation

What is your time frame for this to be completed?

This needs to be done yesterday.

I have a little time - but we need to get moving soon.

I'm just starting out - we have plenty of time to get this right.

Do you own a domain name?

Yes

If you answered yes, what is your domain name?

If you answered yes, are you able to provide your domain name registration information once this project is underway? Answer 'No' if your domain name ownership or registrar records need to be researched.

Yes

Do you have webhosting?

Yes

If you answered yes, are you able to provide your webhosting server login information once this project is underway? Answer 'No' if your webhosting provider records need to be researched.

Yes

Build your website model: (check the box to the left of all the menu/pages/sections you want on your website)

What other things would you like to see on your website? Are there any sites you like that you would like to emulate?

Which graphical styles represent the feel of your business? (check all that apply)

Need some Flash or other add-ons for your website? Enter them here.

Just need a logo or graphic? Enter specifications including dimensions and format here.

Have you lost your web developer, webmaster, IT manager, network administrator otr other computer professional and need some for hire help? Describe your needs and situation here.