Phone: (765)427-6734  Fax: (765)535-5088

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Request a Website Design Quote

This website design questionaire is designed so we can better serve you.  Fill out what you can and we will be in contact with you within 24 business hours.

*First Name:

*Last Name:

*Billing Address:





*Phone Number:


Company/Business Name:

Your current Website:

How did you hear about Core 3?:

So that  we can best determine an accurate estimate please answer the following questions as accurately as possible.

What Web Services are you interested in? Check all those that apply.:

:Web Site Design & Development

:Logo Design

:Scanning and Image optimization

:Image and Graphic sourcing

:Custom design

:Web Site Maintenance

:Free website Analysis

:Ecommerce/Shopping cart

:Content Management System/ portal system

:Search Engine Placement

:Technical Marketing

:Web Site Marketing


:Web Site Hosting

:Domain Name Registration

:Database Development

:Redesign of current site

:Complete SEO and Marketing


:Computer Networking


Who will be the contact person(s) for your Website:

What is the budget for your project?:

Is there a deadline for this project

Are you scheduling other events around this Deadline?

Would you like the project broken down in phases to help you meet your goals?

Will this be a new Web site design or redesign of existing Web site? If you already have a Web site will you be using your existing content?


Describe the nature of your business:

List the services that your company provides:

How many pages do you anticipate that your Web site will have? :

Describe your target audience (i.e. average age, special interests, income level, education level). Do they have any special needs?

Do you currently have marketing materials that we should incorporate into our design?

Goals, Purpose, Concept, Focus, Direction, Strategy and Message

What is the core purpose of your website? Check all those that apply.


:Increase corporate, brand, product recognition

:Reduce customer service calls

:Increase sales

:Improve internal communication

:Increase prospective customer base

:Gather data

:Other (please Describe)

What is the primary message you wish to convey?

What kind of interactivity will your site need?

Do you have any specific design elements in mind?

Style, Design Message, Theme

What image do you want your site to project, what should be "the look and feel"?

Please list some examples of sites that you like.

Sites where I like the navigation:

Sites where I like the color scheme:

Sites where I like the branding or image:

Sites designed for the same target audience:

Please list some competitor’s sites and what you like and dislike about them.

Sites I like the user interface or layout:

Please list some sites that you like in general/overall. Explain what you like and dislike.

Please list sites that you do not like. Explain.

Logo and Corporate Identity

Do you have a company logo? 

Do you have a company slogan and/or mission statement?              

Do you have a corporate color scheme or any symbols/icons that we should incorporate in our design? 

yes              No   
yes              No   


Do you already have image/graphic content for your Web site?

yes              No   

Do you need our assistance scanning or preparing your images?

yes              No   

Approximately how many photos/graphics would you like to use on the site?

Do you have a separate budget for images?

yes              No   

Do you have text content ready for your Web site?

yes              No   
yes              No   

Would you like us to help develop textual content for your site? (extra costs apply)

yes              No   

Do you have anything in mind for background images or colors?


Are you going to be accepting credit cards?

If so do you currently have a merchant account?

yes              No   
yes              No   

List the name of your merchant account if you have one.

How many products and/or services do you plan to sell?


Would you be interested in having us do updates and maintenance to your site?

yes              No   

How often would you require updates?

Daily                    Weekly   

Monthly             Quarterly


Do you require us to train an employee?

yes              No   

Would be interested in assistance from Core Three to promote your site and/or register you with search engines?

yes              No   

Are there parts of your site that will need to change regularly (i.e. products, prices, announcements, etc.)?

yes              No   

What is your number one business problem? How could a new Web site assist you in solving this problem?

Set-up & Hosting  (Due to limitations most website hosting companies put on customers, we suggest to all of our clients to allow us to host there website.)

Do you currently have a Web hosting package? If so, what company currently hosts your site?

Would you like Core Three to host your site?

yes              No   

What email software do you currently use?

How many email accounts will you need?

Do you currently own your own domain(s)?

yes              No   

If not would you like help in acquiring and registering one?

yes              No   

If yes, please list your top three choices and we will find out if one of your choices is available.

If you already own your own domain(s) please list below as relevant to this project.

Would you like access to Web statistics on your site?

yes              No   

Please let us know anything else that is important for us to know about your website project.



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Phone: (765)427-6734    Fax:(765)535-5088