Doxa Creative

THE BASICS

Name: *

First Last

Company Name:

Email: *

Address: *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country

Best Phone Number: *

### - ### - ####

Tell us a little bit about your company: *

Give us a brief description of what you are needing: *

LOGO & IDENTITY

Do you have a logo?

Yes

No

If not, would you like us to design a logo for you?

Yes

No

If yes, what preferences do you have for your new logo?

Do you have a color scheme preference, and if so, what is it?

WEBSITE

Current website address:

Which of the following describes your website needs?

We need an entirely new site

We need our site redesigned

We do not need a new website at this time

If you need a website redesign, please tell us what in particular you want changed:

Please tell us a little bit about what purposes your website will serve:

Please tell us about the target audience for your website:

Please list as many of the pages as you can that you wish to have included in your website (this will help us determine the size/scope of your site) :

Please list some sample websites/logos that you like and what you like about them:

TIMELINE & BUDGET

When is your target date for project completion? *

Do you know how much money you were planning on investing in your design project, and if so, how much?

How soon are you planning to make a decision about hiring us to design your project?

Immediately

Weeks

Months

Not sure

COMMENTS/QUESTIONS

Please provide us any additional information here: