Last Name:

First Name:

Business Name:

Type of Business:

Your E-mail:

Is this to create an entirely new website from scratch, or is it a redesign?

From scratch
Redesign

If yes, please provide a URL to your current website:

Estimated number of pages on desired website:

1-5 pages
5-10 pages
10+ pages

Do you want your site to be more flashy, using bright colors and special effects; or, more professional and conservative (using whites, blues, dark reds, dark greens, etc.)

Flashy
Conservative

Do you want this site to be more complex (using more complex designs and graphics) or simple (which takes less loading time, and is less distracting)?

Simple
Complex

Do you want this website in flash?

Yes
No

Do you want any flash elements (such as animations or programs)?

Yes
No

Will there be a need for us to create custom page graphics?

Yes
No

If so, to what extent?

Not much; 1-2 graphics
A few; 3-6 graphics
A lot; 7-12 graphics
A ton!; 12+ graphics
No idea.

Any other comments you would like to add?