Name:

Company:

Email:

Phone:

Cell:

Best time to reach you:

Type of project:

New Site Update – redesign Consultation Other

Brief description of project:

Have you chosen a domain name (e.g. www.mysite.com) and registered it?
Yes No

If YES, please provide the URL:

If not, would you like assistance choosing and registering one?
Yes No Don't Know

Do you have a web hosting provider?
Yes No Don't Know

If not, would you like Lanternworks to host your site through our hosting provider Jaguar?
Yes No Don't Know

Briefly describe the purpose of your website:

If there are other sites that you admire (for style, content or other), please list them with a description of what you admire.

Do you have any graphics you would like to include on the site?
Yes No

Would you like help with content creation (Writing or rewriting for the web)?
Yes No

What components would you like? Check all that apply.

Product/Service Info Links Guestbook About Blog

News Discussion Forum FAQ's Video

Shopping Cart Survey/Poll Audio Database Image Gallery

Banner Ads Site Stats Chat Graphics Feedback Form

Other:

How important is it to you to get a high ranking on Google, Yahoo or other big search engines?

Not very important Somewhat important Extremely important

Please list 5 keywords that you think your potential visitors will type into a search engine like Google to find your site:
1. 2. 3. 4. 5.

Do you want us to monitor site traffic & suggest changes to increase the number of visitors?
Yes No

Will you need periodic updates to your site?
Yes No

How often will you make changes to your website?
Never Yearly Quarterly Monthly Weekly Daily

How would you rate your web development understanding?
Excellent, I could build it myself if I had the time Good, I understand the general concepts behind design Average, I know it from a web surfing standpoint Poor, just one more computer hassle

What level of input do you want to give?
Not much, I want you to adapt our materials for the web Some interaction on design, text and features I want to be involved every step of the way

Do you have a specific date by which your project must be completed?
Yes No

If YES, please provide this date:

Other comments or questions?