INITIAL NEEDS ASSESSMENT

BACKGROUND INFORMATION

Business type:

Please describe the entity your website will serve

Number of employees:

Please select range that applies

Website status:

I have registered a domain name (ex: www.mydomain.com)

I have an internet hosting provider (ex: www.ace-host.net/)

I have a website running (please provide the URL below)

Please select all that apply

Registered domain name(s):

Please enter any domain names you have registered (for example: www.jasonsalter.com)

Timing:

When would you hope to have your website project finished?

Estimated budget:

What is your estimated budget for this website development project?

Example sites:

Please add any websites you like or dislike and a short comment why

CONTACT INFORMATION

Name: *

Please enter your full name

Preferred method of contact:

Phone

Phone:

Please enter your phone number including area code

Email address: *

Please enter the email address you would like to serve as a contact point

Comments or Additional Information:

Please add any comments or questions you may have

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