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[
Number of Questions: 12 ~ Average
time to complete: 2 min, 30 sec ]
1)
Are you interested in e-commerce related services (selling products,
accepting payments, etc.) or more general Web design work? [required]
General Web design
services
E-commerce related services
( Paypal is used for accepting payments for e-commerce services )
2)
Which of the following describes your business and web design needs? [required]
New business - exploring
web design options
New business - setting web design budget
New business - have web design budget
Established business - exploring web design options
Established business - setting web design budget
Established business - have web design budget
3)
What type of Web site design services are you looking for at this time? [required]
Design of an entirely
new Web site
Complete redesign of an existing Web site
Maintenance or upgrade to an existing site
Other (please specify):
4)
Will you be providing any of the following content or materials to DB
Graphic Design? [required]
No - We are looking
for help with every aspect of our Web site
Yes - We will provide copy/text for our Web site
Yes - We will provide images/graphics for our Web site
Yes - We will provide layout/site map for our Web site
Yes - We will provide audio/music for our Web site
5)
What is your total estimated budget for this website design project? [required]
$300-999
$1,000-1,499
$1,500-2,499
$2,500-4,999
$5,000-9,999
$10,000+
Please
note:
Please be aware that very small and simple Web sites typically start around
$300. More complex sites with advanced features and highly customized
design personnummer typically start around $1,000.
6)
Would you like DB Graphic Design to handle ongoing Web site maintenance? [required]
Not sure - Please advise
Yes - We would like the supplier to handle ongoing maintenance
No - We would like a third party hanlding ongoing maintenance
No - We will handle ongoing maintenance ourselves
7)
When would you like the Web design project to start? [required]
ASAP
In two weeks
In one month
In two months
8)
What is the five digit ZIP code for your office location? [required]
NOTE:
We only serve U.S. businesses at this time.
9)
If you are looking to upgrade or redesign your current Web site, please
indicate the URL:
(i.e. www.mywebsite.com)
10)
Have you already registered a domain name for this Web site?
Yes
No
11)
Have you already arranged for hosting services for this Web site?
Yes
No
12)
Please describe the intended focus of this site and any additional requirements
you may have (e.g. advanced features needed such as streaming audio/video,
Flash animation, etc).
Note:
There is a 1,000 character limit for this answer.
Your
Information
First Name:
[required]
Last Name:
[required]
Title/Function:
Accountant/Controller
Admin. Assistant
Attorney
Information Architect
CEO/President/Owner
CFO
CIO
Consultant
Dentist/Physician
Designer
Editor/Writer/Prod.
Educator
Engineer/Programmer
General Manager
Human Resources - Mgr
Human Resources - VP
Human Resources - Other
Manufacturing - VP
Manufacturing - Mgr
Manufacturing - Other
Marketing - VP
Marketing - Manager
Marketing - Other
MIS/Operations - VP
MIS/Operations - Mgr
MIS/Operations - Other
Office manager
Partner/Principal
Purchasing manager
R&D - VP
R&D - Manager
R&D - Other
Receptionist
Sales - VP
Sales - Manager
Sales - Other
Webmaster
[required]
E-mail Address:
[required]
Phone Number:
(ex: 617-555-1234)
[required]
Your
Company Information
Company Name:
Industry:
Accounting
Advertising
Associations
Banking/Finance
Brokerage/Securities
Computers/Internet/IT
Consulting
Education
Energy/Utilities
Engineering/Arch.
Entertainment/Media
Government
Health care
Hospitality/Leisure
Insurance
Legal
Manufacturing
Non-profit
Office eqpt dealer
Pharmaceuticals
Publishing/Info
Real Estate
Telecommunications
Transportation/Ship
VAR/Systems Integrator
Other services
Other retail
Other wholesale
Street Address:
City:
State / ZIP:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Puerto Rico
Guam
Virgin Islands
Company Size:
1-9
10-19
20-49
50-99
100-499
500-999
1000+
(# of Employees)
By submitting your request
you acknowledge your acceptance that DB Graphic Design will never spam you, or sell your email address nor any other information accepted on this form.