BB Media Web Design ~ Custom web designer

Contact & Web Design Planning Form

Please take a moment and fill out the Web Design Planning Form below. This information will help us plan your custom web site. After we receive this form we will contact you with a web site plan proposal tailored to fit your needs. Let us know what you would like to see on your new web site by filling in the appropriate information. We will use this information to design the site you'll be proud to call your own. If you have any other questions not covered by our web pages or this form please feel free to e-mail us:

Web Design Planning Form

To serve you better please provide the following contact information:

Name(required)

Street address

Address (cont.)

City

State/Province

Zip/Postal code

Country

Home Phone

E-mail(required)

Overview of Your Proposed Web Site

1. In your own words how would you describe your company or business?

2. What would you like to have your web site do for you?

3. What is your projected audience?

4. Do you have a registered domain name? Yes No

6. Is this a/an: New Web Site Existing Web Site?

If an existing web site what is the address or URL of the site?

7. Do you have an Internet connection for your home or business?

Yes I have an Internet connection. No I don't.

8. Do you have a web hosting service for your new web site?

I have a web hosting service. I need to find a web hosting service.

Web Site Content

1. A web site consists of many pages starting with the entrance page or HOME page.
Here is a list of other types of pages commonly found on web sites. Check all that
might apply to your new web site:

	About Page	Links Page
	History Page	Navigation Page
	News Page	Photo Gallery
	Directions Page	Contact Us Page
	What's New Page	Reference Page
	FAQ Page	Forum Page
	Catalog Page	Children's Page
	Order Form	Adult Content Page
	Feedback Form	Other:

2. Ideally, how many pages would you like on your web site?

One Page Three Pages Five Pages
Ten Pages Over Ten Pages

3. Do you have digital pictures that can be e-mailed? Yes No

4. Do you have photographs that you can send for scanning? Yes No

5. Do you have a company logo? Yes No No, but would like one.

6. Can you provide the text for your site? Yes No

7. Do you have Microsoft Office software? Yes No

8. Are you interested in an adult website? Yes No

8. Are you interested in an Online Store? Yes No

9. If yes, would you like a printable order form made up? Yes No

10. Are you interested in a Merchant Account that takes credit cards?

Yes No Not Sure

11. Please list any other features not covered that you would like on your site:

Web Design Elements

1. What is your favorite color?

2.What kind of background would you prefer on your site?

Dark Light Colored Washed out image
Photograph I don't know

3. Which type of layout do you prefer. Check all that apply:

Top Image Header
Text Header
Side Border
No Side Border
Side Navigation Buttons
Top Navigation Buttons
Bottom Navigation Buttons
Side Text Navigation
Top Text Navigation
Bottom Text Navigation
I don't know

Contact & Web Design Planning Form

Web Design Planning Form

To serve you better please provide the following contact information:

Name(required)

Street address

Address (cont.)

City

State/Province

Zip/Postal code

Country

Home Phone

E-mail(required)

Overview of Your Proposed Web Site

1. In your own words how would you describe your company or business?

2. What would you like to have your web site do for you?

3. What is your projected audience?

4. Do you have a registered domain name? Yes No

6. Is this a/an: New Web Site Existing Web Site?

If an existing web site what is the address or URL of the site?

7. Do you have an Internet connection for your home or business?

Yes I have an Internet connection. No I don't.

8. Do you have a web hosting service for your new web site?

I have a web hosting service. I need to find a web hosting service.

Web Site Content

1. A web site consists of many pages starting with the entrance page or HOME page. Here is a list of other types of pages commonly found on web sites. Check all that might apply to your new web site:

About Page

Links Page

History Page

Navigation Page

News Page

Photo Gallery

Directions Page

Contact Us Page

What's New Page

Reference Page

FAQ Page

Forum Page

Catalog Page

Children's Page

Order Form

Adult Content Page

Feedback Form

Other: