1. Client Information Your Name (required) Organization / Business (required) Address 1 Address 2 City (Required) State / Territory Alabama (AL)Alaska (AK)Arizona (AZ)Arkansas (AR)California (CA)Colorado (CO)Connecticut (CT)Delaware (DE)Florida (FL)Georgia (GA)Hawaii (HI)Idaho (ID)Illinois (IL)Indiana (IN)Iowa (IA)Kansas (KS)Kentucky(KY)Louisiana (LA)Maine (ME)Maryland (MD)Massachusetts (MA)Michigan (MI)Minnesota (MN)Mississippi (MS)Missouri (MO)Montana (MT)Nebraska (NE)Nevada (NV)New Hampshire (NH)New Jersey (NJ)New Mexico (NM)New York (NY)North Carolina (NC)North Dakota (ND)Ohio (OH)Oklahoma (OK)Oregon (OR)Pennsylvania (PA)Rhode Island (RI)South Carolina (SC)South Dakota (SD)Tennessee (TN)Texas (TX)Utah (UT)Vermont (VT)Virginia (VA)Washington (WA)West Virginia (WV)Wisconsin (WI)Wyoming (WY)American Samoa (AS)District of Columbia (DC)Federated States of Micronesia (FM)Guam (GU)Marshall Islands (MH)Northern Mariana Islands (MP)Palau (PW)Puerto Rico (PR)Virgin Islands (VI)Armed Forces Africa (AE)Armed Forces Americas (AA)Armed Forces Canada (AE)Armed Forces Europe (AE)Armed Forces Middle East (AE)Armed Forces Pacific (AP) Zip Code Country (if outside of the United States) Your Email (required) Phone How Did You Hear About Us? Your Website (required) 2. Would you like us to design/redesign a logo for your company / organization? YesNoMaybe If Yes..... a) Is the logo for the company / organization or a product? b) Any colors you have in mind to incorporate into the Logo / Branding? c) Any images you have in mind to incorporate into the Logo / Branding? d) What is the primary product of the company / organization? e) What are the demographics of your customers / audience? f) Where will the logo be appearing? Letterhead?Business cards?Television?Online / Social MediaAll of the aboveOther g) What is the purpose of the logo? h) What do you NOT want on your Logo / Branding in terms of text, content, etc.? i) Is there a budget for this Logo / Branding design project? j) Who are the decision makers on this project? What is the turnaround time for making a decision? k) Please List the links to the folder(s) and/or Zip files (.zip or .zipx) that contain all files you want used on your Logo / Branding in the text box below . . .Thanks! If you have images you want used to be attached to this form....include them below 3. Are there any colors you had in mind to incorporate into the site? 4. Are there any images you had in mind to incorporate into the site? 5. Describe the site's desired look and feel by using adjectives and short phrases: 6. I Specialize in the design of WordPress themed websites. There are Wordpress themes that I can modify for the redesigned website. Are there any WordPress themes that seem like a design you might have in mind for your website? If Yes..... Library of WordPress Themes ( https://wordpress.org/themes/) 7. Please list any special features you envision as part of your site: 8. Is there a date that your website need to be completed by and made available to the public? YesNo or just enter a date below: 10. Will you want your site to be updated regularly? YesNoMaybe 11. Would you like us to update the content of your site or would you like to be responsible for content updates? Update my site for meI'll do my own updatesUpdate parts of my site for me & I'll do my own updates on other portions of website (please specify on #12) 12. What parts of your site do you want us to update & What parts of your site do you want to do your own updates? 13. Would you like to be able to easily update your own content without any special software or HTML knowledge? YesNoMaybe 14. What do you NOT want on your site in terms of text, content, etc.? 15. Is there a budget for this Website redesign project? YesNoMaybe If Yes.....what is the Budget? 16. Who are the decision makers on this project? What is the turnaround time for making a decision? 17. Please List the links to the folder(s) and/or Zip files (.zip or .zipx) that contain all files you want used on your website in the text box below . . .Thanks! 18. Do you have a domain name reserved for the website (if a new site) or does the current site already have a domain name attached to it? YesNoMaybe If Yes..... i) What is the Domain Name? ii) Is the domain registered with anyone? YesNo a) If Yes.....with whom? 19. (For new websites). Do you have someone to host the website? YesNoMaybe What is Website Hosting? Web hosting is a service that allows organizations and individuals to post a website or web page onto the Internet. A web host, or web hosting service provider, is a business that provides the technologies and services needed for the website or webpage to be viewed in the Internet. Websites are hosted, or stored, on special computers called servers. When Internet users want to view your website, all they need to do is type your website address or domain into their browser. Their computer will then connect to your server and your webpages will be delivered to them through the browser. Most hosting companies require that you own your domain in order to host with them. If you do not have a domain, the hosting companies will help you purchase one. • If you have a hosting service for the website…... i) What is the Name of the hosting service? 1. What are the login credentials of the hosting service? a. Username? b. password? ii. Credentials for management of the website: 1. What are the login credentials that you have in mind for the website? a. Username? b. password? iii) What is the contact info for the hosting service? 20. Do you have any other comments, questions, or concerns? Any additional comments are welcome. . . .Thanks! Δ
