Completing this questionnaire does NOT commit you to paying anything.

We send you a
quotation and if you are happy to proceed you only need to make a deposit payment at
that stage if you wish to go ahead.

1. Your name : (required)

2. Your company name (if applicable) :

3. Your invoice address :
4. Email address: (valid email required)
5. Best Contact Number:
6. Best Time of Day to contact you:
7. What type of website are you after: Business / Personal / Club / Social / Selling / Other
8. If Business, what type of Business are you (in less than 30 words):
9. Please tell us your domain name or existing website (if you have one)
10. Do you have a domain name in mind if you don't already have one?
11. Do you already have a logo you want to use?
12. What is your preferred colour scheme? :
13. Are there any existing websites you like (and why)?
14. Tell us anything else about your requirements we may not have discusses in our initial meeting (eg. e-
commerce, company literature etc):
15. Where/who is your site currently hosted by?
16. Current domain name registra?
17. Do you wish to have your current site continued to be host / registered by your current providers (with
this option we are unable to update your site once complete – any future updates will require redesign) or
would you prefer to have your site hosted on our servers (to allow for easy, low cost future updates)?
18. Can you please list any additional service you run with your site eg. Google adwords, analytics, SEO
etc.
19. Where did you hear about us and what attached you to Mr Web Creator?
20. Is there a time scale or deadline required?
21. Is there any additional information which you would like to tell us?