General Details

Title

Mr Mrs Ms Miss The Hon Rev Prof Dr

First Names

Surname

ID / Co Registration no.

VAT Registration Number

Company Name

Physical Address

Postal Address

Work Telephone

Mobile Phone

Home Telephone

Fax Number  

Email Address

Re-enter Email Address

Please complete this survey as open mindedly and honestly as possible. This survey provides us with information about your unique requirements and does not obligate you to anything.

Main business activity, Products / Services:

Have you registered your domain name yet?

Yes No

What is your domain name (or what would you like it to be)?

Where are you currently hosting your domain? (Name of ISP)

Would you be interested in moving the hosting of your domain to 21 Digital Web Solutions?

Yes No

If 'Yes', please provide us with a list of email addresses you wish to set up or transfer.

Are you looking at developing a new website from scratch or just a re-design of your current website?

Complete new website

Re-design of my current website.

* Please state the base language your current website is developed in:
HTML FLASH ASP PHP Joomla or other:

What is the purpose of developing (or redesigning) your website?
(Select all that apply)

To enhance company credibility by establishing an Internet presence.

To generate interest in our products / service (identify prospects).

To sell products / service directly (e-commerce).

To experiment and test market demand.

To provide product / service information & save costs in the process.

To improve customer service.

To keep existing customers informed.

To provide prices and quotes to customers and / or vendors.

To facilitate company communication.

To educate (provide a community service).

To attract visitors and build a community / portal.

To be a portal or a gateway to the Internet. (ISP)

To prove a point or fight a cause.

To communicate with other organizations and share information.

To attract visitors and sell advertising.

List some of the objectives for designing your website.

What type of image do you want to communicate? (Select all that apply)

Describe in a sentence the emotion you want to communicate:

What information do you want to collect from your visitors:

What have you seen at other sites that you'd like to incorporate?

Do you have any graphics you would like us to utilize?

Yes No

Do you have brochures or other information that would help us develop your website's content?

Yes No

What web pages / components would you like? (Select all that apply)

Do you need help designing a logo / corporate indentity?

Yes No

Do you need custom graphics or have a need for any other graphic design services?

Yes No

Do you need help with content creation? (Writing or re-writing the web content, i.e. - Copy Writing)

Yes No

How important is it to you to get a high ranking on Google / MSN / Yahoo or other big search engines?

Not very important Somewhat important Extremely important

How aggressively have you promoted your site to search engines?

Not at all A little Very aggressively

How aggressively have you promoted or advertised your website in other media or advertising channels ?

Not at all A little Very aggressively

Please list 10 keywords that you think your potential visitors will type into a search engine like Google to find your site:

Do you want us to monitor site traffic & make changes to the keywords periodically to increase the number of visitors to your website? (Website Management Package including SEO)

Yes No

By what date would you like to launch your site?

How often will you make changes to your website?

Will you need someone to update your site on an ad-hoc basis?

Yes No

Would you like to have the ability to update sections of your website yourself?

Yes No

How would you rate your web development understanding?

Don't go there! Little Fair Good Very Good

How would you rate your understanding of SEO (Search Engine Optimization)?

Say What? Little Fair Good Very Good

How would you rate your understanding of SEM (Search Engine Marketing)?

Say What? Little Fair Good Very Good

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