california
web design
west:
714.277.4597
east
212.537.6402
Sites created using this form can be completed with up to 40% more efficiency.
Step 1 of 9
* Required Field
New to the web industry?
Don’t worry. We’ll make it easy for you. Just complete each question to the best of your ability. Your new site is a long-term investment. Envision your online business several months or years in the future.
Tell us about yourself
First Name:
Last Name:
Current Address:
Address (2):
City:
State:
-Select-
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Dist of Columbia
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
International
Zip:
Phone Number:
Alternate Number:
Email Address:
Confirm Email:
Step 2 of 9
* Required Field
Reasons for site.
By giving us some information about your needs and wants, you give our developers the starting blocks to tailor a site that fits you perfectly.
Why are you having this website developed?
My website will be used for:
-Select-
Personal
Portfolio
e-Commerce
Information
Domain Name Registration / Web hosting
Do you have a current domain name?
No, but I think I would like:
Yes, I have a domain name. The online URL is:
Do you have a current web host?
No:
Yes, My host's name is:
Please describe your overall budget for this project:
My budget is between:
-Select-
under $100
$100 to $500
$500 to $1,000
$1,000 to $5,000
$5,000 to $10,000
more than $10,000
On what date would you like your site to go live?
I would like to go live on:
Step 3 of 9
*Required Field
What is dynamic content and will you need it for your site?
Modern websites are created with Dynamic Content. This term describes the ability a website has to interact with its different users. Dynamic content is required for user logins, shopping carts and forms. Our simple Content Management Systems allows administrators to edit site content quickly, or if you prefer, EXM Media can update and promote the site for you.
The type of website I want is...
Content type:
Yes, I definitely need Dynamic Content.
No, I do not need Dynamic Content.
Other.
Have you developed the content for your website?
Content:
Yes, the site content is complete and organized.
I am currently in the process of creating content.
It is less than half complete.
It is more than halfway complete.
No, I have not developed site content.
I will require assistance in creating this content.
I will complete the content without assistance.
Other.
Step 4 of 9
*Required Field
How will users navigate your website?
Every website must have a Navigation System. A navigation system is generally a short menu of Links connecting one page of a website to another. Each individual page has separate content, and users will need a way to access each public webpage. Basic websites usually consist of five pages. while e-commerce sites may consist of hundreds or even thousands of pages with several sets of navigation menus to display all the page links.
Site Navigation:
Main Nav:
Sub Nav:
2nd Nav:
Approximate number of pages?
-Select-
1 to 5 pages
6 to 10 pages
11 to 20 pages
21 to 50 pages
51 to 100 pages
more than 100 pages
What other sites have the look, feel or functionality you want for your site?
List the site URL here:
Explain the site's appeal to you.
(Navigation, Colors, Content):
URL:
Appeal:
Keywords are used to help search engines find your website.
List your keyword ideas here:
Step 5 of 9
*Required Field
How should users interpret your website?
Websites are created with the intention of conveying information as well as delivering an emotional impact. We conceptualize websites by separating them into two categories: Style and Image.
Check all boxes that define you:
Your Image:
Elite
Personal
Cutting-edge
Friendly
Corporate
Spiritual
Traditional
Creative
Contemporary
Low-cost
Professional
Affordable
Expensive
Casual
Fun & Exciting
Macabre
Parody
Dark & Dreary
Your Style:
Cool & Serene
Bold & Powerful
Soft & Mellow
High Energy
Minimal & Simple
Festive & Party
Ethnic or Foreign
High-tech
Classy & Elegant
Artistic & Creative
Natural & Organic
Hip & Funky
Fancy & Upscale
Fun & Playful
Classic & Historic
Flashy Eye Candy
Romantic & Sensual
Corporate & Clean
List any other style or image suggestions:
Step 6 of 9
*Required Field
Which colors do you think would best suit your site? (check all that apply)
Site Colors:
Blue
Purple
Green
Grey / B&W
Orange
Yellow
Pink
Red
List any preferable variations of these colors as well:
Provide a short description of your site in a nutshell:
Step 7 of 9
*Required Field
Who is your target audience? (check all that apply)
Target Audience:
Ages: 1 - 12 (Children)
Ages: 13 - 18 (Teenagers)
Ages: 19 - 24 (College Students)
Ages: 25 - 50 (Adults)
Ages: 50+ (Mature Adult)
All Ages: Everyone
Should the site be developed with any of these features?
Features:
Site-wide Search Engine
Music or Video clips (Or streaming)
Members Only Section
Flash Intro / Header
Message Board / Forum
Newsletter or RSS Feed
Also Include the Following Features:
Step 8 of 9
*Required Field
Branding
Do you have a professionally designed logo?
No, but I would like you to create one for me.
Yes, I have a logo.
Do you use a tagline or slogan with your marketing?
Slogan?
Yes, the slogan I would like to use is:
No, I prefer not to use one.
Maybe:
Do you have or require supplemental / promotional materials?
Content:
Yes, I can provide previous ads, promos, etc.
Yes, but they need to include the new website.
No, I only want a minor presence.
No, I am not interested in promoting the site.
Other.
Step 9 of 9
*Required Field
Need Help?
Profitable websites must be kept up to date on a regular basis. We provide you with the choice of a Web Maintenance Plan and/or Content Management System for updates. The combination of a web maintenance plan with a content management system will allow you to achieve the best dynamic results.
Check all boxes that you require information on:
Content Management System.
Web Maintenance Plans.
Logo Design.
SEO.
Your Finished! Just press Submit and you are all done.
