Phone: 866-511-ADLC Fax: 770-452-3641 support@adlcllc.com www.adlcllc.com

	Interview for Web Development
	Date Month   Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Day   01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year   2012

	Company Contact Information:
	Customer Name* First Name Last Name
	Address* City Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District 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 State Zip Code	Cell Phone
	Email*	Work Phone
	Signed By:*

	Please describe your organization in a few sentences.	Is your business local or nationwide?
	Where do most of your customers come from?	Can you provide me with electronic (preferred) or hard copies of company brochures, business cards, letterhead, logo's etc., for use on the website?
	What type of advertising do you currently do? Newspaper Radio TV Internet Billboards Direct Mail Coupon Books Other: Other Value	Do you have a current web site?
	What do you like most about your website?	What do you like least about your website?
	Do you own a domain name and have access to it?	Would you like your customers to contact you via the net?
	Are you planning to do online sales? If so, what is the product, and how many items do you want to sell online?	If you’re planning to sell online, are you set up to accept credit cards? select Yes No
	Do you maintain a mailing list on your site?	What forms of Payment do you accept for your services? Visa Mastercard American Express Discover Cash PayPal Money Orders Financing Available Other: Other Value
	Who is your target audience?	Do you have a main color in mind? Is there a color I should stay away from when building your site?
	If not, is there a color I should stay away from when building your site?	If you were using a search engine, what words or phrases would you use to find your site? Which of these words or phrases is most important? Second? Third?
	What do you want to be the main focus of your web site?	How do you plan to get the word out on your new site?
	Will it be listed on your business cards, letterhead etc.?	What kind of deadline are you working on for your new site?
	Who are the decision makers on this project? What is the turnaround time for making a decision?	How many pages do you think your web site should be starting with HOME, ABOUT US, and CONTACT etc?
	Do you have or maintain a database? If so, what do you require?	Have you researched your online competition so you have an idea of what you do and don’t want on your site?
	Please list the names of five other sites that you like. Why are they attractive to you?	What is your deadline for completing the site?
	What is your budget for this project?

	Atwork Upload
	Company logo, pictures or other Artwork for design Use this form to attach your artwork.