knot.jpg (2628 bytes)To help me get an understanding of your web design needs, please take a few minutes to complete and submit the online form below. Please be as detailed as possible so that I can assess your needs and goal.

Note: The information you send is for my internal purposes only - you will not be placed on any mailing lists and your information will be kept private.

Background Information
First Name 
Last Name 
Company   
Address     
City   
State 
Zip Code 
Daytime Phone
()
Evening Phone
()
Email Address

Internet Experience
Are you comfortable browsing the Internet?
Yes    No
Are you comfortable using search engines?
Yes    No
Are you comfortable using e-mail?
Yes    No

Project Information

Project Goals
What are you trying to achieve from your web site? (multiple selections permitted):
Family Album
Increasing my business
Art Gallery
Promotional   
Educational
Entertainment
Web Presence
Reporting
Advertising
Sales
Music Oriented Site
Personal
Artist Site
Electronic Commerce
Home Page
  Personals  Album
Other:
Project Services
What services do you anticipate you will require? (multiple selections permitted):
E-mail address gathering
Information distribution
Domain Registration/Setup
E-mail Newsletter
Streaming Audio
Streaming Video
Art Gallery
Secure Database input/output
Top Search Engine positioning
Secure Credit Card Transactions
Online purchasing
On-line order tracking
Visitor Monitoring
Visitor Tracking
Visitor Statistics
Password Access
Multimedia/Animation
Other:
Existing Site
Do you currently have a website?
Yes    No
If so - what is the address (URL)?

Project Timing
Please specify a deadline for your web project:
Day / Month / Year: / /
Project Budget
Project Description
Please describe your project in detail. Such description can include goals, expectations, aesthetics, etc.