Needs Analysis Form


Before we can construct a proposal with timelines and cost estimates, we’ll need to know a little bit more about you and your organization. Feel free to enter in as little or as much information as you like.

Name (First, Last):

Company Name:

Street Address:

City, State, Zip:

Telephone:

Fax:

Your Email

Preferred method of contact:

Do you currently have a Website? (YES/NO) If so, what is the address?

Which best describes your position in the company?
 Owner/CEO/President  Executive/Management  Billing/Executive Assistant  Other:

Which best describes your group/company/firm’s web presence development budget?
 Less than $1,000   $2,000 - $3,000   $3,000 - $4,000   $4,000 - $5,000

Which best describes your group/company/firm’s web presence monthly maintenance budget?
presence?
 Less than $20.00  Less than $30.00  Less than $40.00  Less than $50.00

How often do you plan on updating the content of your website?
 Daily  Weekly  Monthly  Sporadically

When would you like to launch your new website?
 Yesterday   Within the next 10 business days   Within the next 30 business days   Within the next 90 business days   90 or more business days   No set time

Do you currently have a web hosting provider?
 No  Hosting with point2point

Hostname:

Username:

Password:

Do you currently have a domain name?
 Yes No

Domain Registrar?
 Yes No

Username/e-mail:

Password:

Paypal.com

Email:

Password:

Stock Photography

 point2point supplies Client supplies iStockphoto.com

Website Site Map:

Color scheme/Alternate colors:

Do you need us to build you a logo? (YES/NO)
 Yes No

Website Tagline:

Other website in your industry you would like us to refer to:

Describe your intended website visitor:

Initial Meta Tags (more can be added later):

Sections to add:

Sections to remove:

Text changes:

Miscellaneous changes:

Potential problems with current website:

Do you need any files or content?

Estimated hours:

Miscellaneous notes: