Questionnaire Website Form This worksheet is designed to enhance communication between The Kool Source and our clients. It provides a written record of our mutually agreed upon plan for the website. Step 1 of 4 25% Organization Name Contact Name Phone NumberEmail Address Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country 1. PurposeWhat is the overall goal of your website? Your mission statement, so to speak.Please check any of the following that apply to your website. Leave blank those which do not apply. To gain a favorable impression of the company or organization To develop a targeted list of prospects that can later be approached about buying, donating, etc. To sell products directly taking credit card information over the Internet. To encourage potential customers to contact us by phone, mail or email To make available product information and price lists To strengthen brand identification of my company or organization within its field Others Others 2. Site OrganizationPlease label sections and pages you desire (Welcome, About Us, Contact, etc.)Given the sections and pages listed, how many pages will your site require? 1 - 5 6 - 10 11 - 15 16 - 30 31 - 50 Over 50 3. Site and Domain NamesThe site name will appear in the header graphic at the top of every page unless you have a logo. If you need a logo design, those services are available..The domain name will be the URL or address, similar to www.yourcompany.com. This must not be already owned by anyone else. You may check the availability of your domain name at Go Daddy (godaddy.com). If you need suggestions, try DomainsBot (domainsbot.com).Desire Domain Desired Already Registered If already registered, registrar isAlternate Domain Names: 4. Web Style PreferenceIt is important that we understand the style you are wishing to portray on your website. List sites that you like some aspect of. With each, give an explanation. Website Address: What you like :Add more style Preference (Option 2): Click here to add more preference Website Address: What you like :Add more style Preference (Option 3): Click here to add more preference Website Address: What you like :Add more style Preference (Option 4): Click here to add more preference Website Address: What you like :Please indicate any specific colors you would like used in your website.5. Sound and VideoWill you have any video or sound on your website? Video Sound Both Neither 6. Basic Site ElementsEnter your contact information as you would like it to appear on your website. (Phone number, Email Address, Fax, Social Media links, etc.)Email address(es)Would you like your logo incorporated into the design? (If so, provide us with an electronic version, or our staff can design one.) Yes No Do you have any trademarks, service marks or disclaimers? (If so, please provide us with a list exactly as you wish it to appear.) Yes No May we include an unobtrusive link at the bottom of the web pages that reads something along the lines of “Web Design by The Kool Source”? Yes No 7. Photos and GraphicsYou must own the copyright to, or have permission from the copyright owner to use any photos and / or graphics you send us. Please check the option(s) below you wish to use. Photos you supply (prints or digital) Stock photos are sometimes appropriate. We will obtain these for you. A professional photography session can be arranged. Artwork is sometimes appropriate on a website. Others Untitled 8. Additional Design and DevelopmentFor an extra charge, we can perform the following additional work. Inquire about anything not listed here. Video production Stock photos are sometimes appropriate. We will obtain these for you Gallery (if more than 25 pictures or if sections are needed) E-Commerce capabilities (this may require a separate worksheet) Logo Design Other Untitled 9. Website Marketing Package (SEO)We offer search engine optimization for your website to improve its search engine rankings. Do you want the marketing/SEO package? Yes No 10. Other InformationInclude any additional information here. Disclaimer: On behalf of our organization I approve this plan which I have developed with The Kool Source to construct a website. If a contract is signed in addition to this worksheet, The Kool Source authorized to use this worksheet as the basis of this project.
