One9media Project Evaluation Form

We have attempted to make this form as simple as possible while still obtaining enough information to give you a qualified response to your query. Filling out forms is not a fun filled experience, but the more complete you can make your answers the easier it will be to provide you with the best responses.

Your full name:

Your email address:
(e.g.: you@aol.com)

Your company:

Your Phone Number:

Your Fax Number:

How would you prefer to be contacted primarily:

Do you currently have a website:

If so, what is the URL?

Will you need the logo designed?

Yes No

What do you want to accomplish with your website?

Try to explain as thoroughly as possible. (sell products, provide services, link to outside vendors, etc.)

Please describe your business, be as descriptive as possible:

What area are you trying to reach?

Who are you trying to reach? (Hold down Ctrl Key for multiple selections)

Which of the following design elements would you like to include in your site? (Hold down Ctrl Key for multiple selections)

Will you need maintainence? (Changes made after the intitial site design is complete)

Yes No

If you replied YES to the above question. What type of maintainence will you need?

Estimated No. of Pages
(Figure at each page printing on an 8-1/2 x 11" piece of paper)

What is your estimated budget for this project?

Do you have a concise idea about how you want the site layed out?

Please give 3 examples of sites you like:

What You like about it:

Which special scripts that use databases need to be installed? (Hold down Ctrl Key for multiple selections)

Any Additional Comments:

FORM SUBMISSION

Thank you for taking the time to answer these questions. We will review the information and provide you with a quote as soon as possible.

Your full name:
Your email address: (e.g.: you@aol.com)
Your company:
Your Phone Number:
Your Fax Number: