We've put together the questionnaire below to help us gather most of the information necessary to give you an accurate quote on your web design project.

You can print it if you would like to complete it off-line, but the online version of this form provides important information and clarifications on key points, not available in the printed format. Simply click on any of the buttons labelled: where applicable.

Your Contact Information		Required fields :
Company (if applicable):
Name of the person to contact:
City & state:	,
Phone (incl. area code):	( )
E-mail:
How did you hear about Clarke Smith & Co?:	Select One Referred by friend/bus assoc. Craigslist.org Posting Google Search Google Ad Other Web Search Found your web by accident I don't remember
Referral's Name (if applicable):
Please check all that would apply to your type of business [Check all that apply]	Product Sales Legal & Professional Svces Financial Services Medical Pets Fashion/Jewelry Design Information Child Related Entertainment Surveys Restaurant/Bar Hotel/Lodging Wine & Spirits Political Government Related Bridal High Level of Security Required Non-Profit Handicap Accessible Military, War Related
Your Website Needs
Select what kind of "Website Theme" is most applicable to the website you are looking to have built.	Select One Web-Based Sales Offline Sales Lead Generating Market Awareness Informative or Entertaining Influence or Persuasion
Describe your target audience. Knowing your target audience (who is going to be visiting your website) will help us determine look (colors) and type of technology appropriate to use for your website.
Since you have evaluated that a website for your business or product makes sense for you at this time, what is your budget for the creation and launch of your website?	Please Select Undetermined $1K - $2K $2K - $3K $3K - $5K $5K - $7,5K $7,5K - 10K Over $10K
When will you need your website to go "live"?	Select Period Beginning Mid End of Select Month January February March April May June July August September October November December , Select Year 2007 2008
Please tell us if you...	Please Select Already have a website Have a domain but no website Have no domain nor website
If you have a web or have already registered a domain, please indicate your main URL:
Has your website been deployed?	Yes No
If you don't yet have a website and have not yet registered a domain name, please list some of the names that you're considering:		Save money and register your web domain with one of the following trusted companies: www.gkg.net www.godaddy.com
What are the necessary features you'll need for your website?	Shopping cart for products or services "What's New" page Ability to add products, update prices and images, make simple text edits myself. Web Blog or in-house "Bulletin Board" Video or Audio (Stream or Download) Video or Audio "Jukebox" Image Gallery Calendar or Events page Newsletter E-mail Template E-mail capture
Would you be open to the possibility of a website design based on an existing template if it translates into savings for you.	Yes No     Click on the "details" link above to learn more about web templates, then view some samples below. Design Sample 1 Design Sample 2 Design Sample 3 Note that the samples above are empty samples with no external navigation and they are just a few of a multitude of templates available.
Please list the top 6 websites that have the features that you would like to see on your website	1. 2. 3. 4. 5. 6.
Please list the top 6 websites that have the type of design that you would like to see on your website	1. 2. 3. 4. 5. 6.
Content for your Website
Do you already have photographs or original graphics for your website?	Yes No
Are all your images in a digital format (i.e. on a disk) or will they require to be scanned ?	Please select... All in Digital Format All need to be scanned Some need to be scanned
Will you need us to take photographs of any of your products, staff or offices?	Yes No
Do you have copy (text) for your site?	Yes No
Do you have all your text in a digital format or do you need to have it typed?	Please select... All in Digital Format All needs to be typed Some need to be typed
Do you have video footage to introduce your company, your products or yourself to your target audience?	Yes No
If Above answer is "No" - Do you plan to produce video footage to introduce your company, your products or yourself to your target audience?	Yes No
If you already have video footage, what format can you provide us?	Select One Windows Media QuickTime DVD VHS Beta
Will you want us to take video footage of any of your products, staff or offices?	Yes No
Your Shopping Cart Needs (only complete if your website requires a shopping cart)
Will you sell Products or Services on your website?	Please select... Products only Services only Products & Services
If you'll be selling products, will any of them require personalization? (monograms etc.)	Yes No
How many SKUs (products) do you plan to sell?	Please select... 1 to 10 10 to 20 20 to 50 50 to 100 over 100
Will you sell Downloadable Media (Video, Sound, Images) on your website?	Yes No
Describe in a few short sentences what it is that you sell and what exactly you may be looking for in your shopping cart.
In Closing...
Input any additional comments or questions here.