Website Design Questionnaire

Lengkapi dan submit  kuesioner  online kami atau Bantu kami dengan memberikan informasi sebanyak mungkin.
Silakan hubungi kami jika Anda memerlukan bantuan.

Section 1: Contact Information

Your Name (required)
Email (required)
Subject
Other Information/Comments

If you need help with any of the following sections, please do not hesitate to contact us.

Section 2: Your Foundation - Let's See what you have so far

Do you have a domain name? Yes No  ,------ If Yes, what is it?
Do you have a Web host? Yes No  ,------ If Yes, what company?


Section 3: Web Site 'Domain' Name - What Will You Name Your Web Site?

If you answered NO to the question above about a domain name please give us your choices.

Choice #1: www.

Choice #2: www.

Choice #3: www.

Choice #4: www.


Section 4: What is the Purpose of Your Web Site?

 Informational Promote Service Promote Products Provide Downloadable Information Sell Service Sell Products Other

In as much detail as possible please describe what you hope to achieve with your web site


Section 5: Keywords and Short Phrases People Will Use to Find You on the Internet?

01 -

02 -

03 -

04 -

05 -

06 -

07 -

08 -

09 -

10 -

Comment:


Section 6: What 'Style' or 'Image' Would You Like?

If you answered NO to the question above about a domain name please give us your choices.

Choice #1: www.

Choice #2: www.

Choice #3: www.

Choice #4: www.


Section 7: Logo, Photos, Graphics, Other Artwork, Animation, Sound

Logo
Do you have a logo?
If 'Yes', can you provide your logo on disk or send it by email?  Yes No

Photos
Do you have photos for your web site?  Yes No
If 'Yes', can you provide these photos on disk or send it by email?  Yes No

Graphics
Do you have any graphics for your web site?  Yes No
If 'Yes', can you provide these graphics on disk or send it by email?  Yes No
If 'No', we can include the cost of the creation of graphics in our quote

Animation
Would you like to have any animated graphics or text on your web site?  Yes No
If 'Yes', we can discuss the type of animation and include the cost in our quote to you.

Sound
Would you like to have any sound or music on your web site?  Yes No
If 'Yes', we can discuss the type of sound or music and include the cost in our quote to you.

Section 8: Web Site Layout and Page Titles

Based on the example above, fill in your Web Page titles in the text boxes below.
Fill in only as many as you think you'll need.
(Page name examples in addition to the Home Page are: About Us, Services, Products, Press Release, Blog, Links, Location, Contact Us)

Home Page

Page Name #1 Page Name #2 Page Name #3 Page Name #4 Page Name #5
Page Name #6 Page Name #7 Page Name #8 Page Name #9 Page Name #10
Page Name #11 Page Name #12 Page Name #13 Page Name #14 Page Name #15
Page Name #16 Page Name #17 Page Name #18 Page Name #19 Page Name #20


Section 9: Security Test - Are You a Human or Computer?

We hate spam as much as you do. To help us curb this practice please identify the picture below.

captcha