Web Survey | Neon Rain Interactive

Name*
Phone*
Email*
Organization Name
Website Domain Name
Budget Allocated For Project*
We will let you know what we can and can't do.

Will you be receiving payments in any way via the website?*
Describe selling products or services
How do you expect your visitors to find your website?
- SEO
- Pay Per Click
- Online Advertising
- Search
- Email Marketing
- Word of Mouth
- Direct Mail
- Social Media
- Print Advertising
- Television Advertising
- Other (please describe)
Describe how you expect visitors finding your website
What is the most important action for your visitors to take when they visit your new website?
Is there a specific state or region you wish to target?
Will your target visitor be:*
- A private individual
- Decision maker at a business 
- Other, please describe
Describe your target visitor
Private Individual
Describe your typical visitor
Age Range
Gender
- Male
- Female
- Both
Awareness of your Organization
- Knows about your organization
- Does not currently know about your organization
Awareness of your Product / Service
- Knows about your product or service
- Does not currently know about your product or service
Education About your Industry
- Understands and is familiar with your industry
- Needs to be educated about your industry and where your organization fits in
Preference of Pricing/Preception
- Value Deals & Discounts
- Value Quality & Prestige
- Other
Decision Maker for Businesses
Describe your typical visitor
What role would you expect them to have?
What Type of Business
Organization Awareness
- Knows about your organization
- Does not currently know about your organization
Preference of Pricing/Preception
- Value Deals & Discounts
- Value Quality & Prestige
- Other
Describe Other
Other Visitor
Describe your typical visitor
Describe Other
Organization Awareness
- Knows about your organization
- Does not currently know about your organization
Product / Service Awareness
- Knows about your product or service
- Does not currently know about your product or service
Education
- Understands and is familiar with your industry
- Needs to be educated about your industry and where your organization fits in
Preference of Pricing/Preception
- Value Deals & Discounts
- Value Quality & Prestige
- Other
Describe Other

Years in Business
Brand Awareness
- Start-up
- Existing but No Exposure
- Known in industry
- Known locally
- Other, please specify
Check all that apply
Brand Awareness (other)
Cost of Product or Services
- Competitively Priced
- Budget Option
- Expensive Option
- Other, please specify
Check all that apply
Cost of Product or Services (other)
What edge does your organization have on your competition?

Please list your top 2 or 3 competitors’ websites
Overall, do you like this site? Yes / No & Why:
Overall, do you like this site? Yes / No & Why:
Overall, do you like this site? Yes / No & Why:
List 2 or 3 other websites you like and the reasons why
(these websites do not need to be in your industry at all, this information is collected to determine your preferred style.)
What do you like about this site?
What do you like about this site?
What do you like about this site?
Your Logo
Does your organization already have a logo?*
- Yes
- No
Logo
Accepted file types: jpg, png, gif, pdf, ai, psd, doc, .
If not, we can provide a custom logo design for your organization. Are you interested?*
- Yes
- No
Your Color Palette
Does your organization have specific color requirements?
- Yes
- No
If so, please provide specifications here:
If not, please describe your thoughts on the color palette:
Looking for a palette? You may find this helpful: kuler.adobe.com
Content
Content*
Do you plan to provide all written content for your website?
- Yes
- No
Photography and Other Graphic Assets*
Do you have pre-selected photography for this project?
- Yes
- No