Website Questionnaire
This information will only be used by San Diego Internet Services to respond to your request for information or to help design your website.
This information is kept strictly confidential and will not be sold or distributed to any other entity without the our client's permission.
Required Fields * Form will not complete unless correctly filled in. Name:* Required Phone:* Required Email:* Required Address: Suite/Apt: City: State/Province: Zip Code: Country: Fax Number: URL: Where did you hear about San Diego Internet Services? For multiple choices, press and hold the Ctrl Key while making selections Yellow Pages-Metropolitan Area Yellow Pages-East County Yellow Pages-North County Coastal Yellow Pages-North County Inland Internet Search Engine Recommendation Email Message Other Some information we would like to know before we respond with a reply. I need my existing website redesigned I need a completely new website created I need advertising & marketing advice for my website Do you have text that can be used for your website? Yes No Do you have graphics or pictures? Yes No Do you wish to have post-website training to maintain your site yourself?Yes No Will you be selling a product or products on your website? Yes No Describe your products. Will you be selling a Service on your website? Yes No Describe your services. Do you wish to take credit card orders on-line? Yes No Do you have a merchant's account to process credit cards? Yes No What is the name of your Internet Services Provider? How soon will you be ready to start? As Soon As Possible In about a week In a couple of weeks In about 3 weeks In about a month I'm not sure, I'm procrastinating Please contact me by E-mail Reply. Please contact me by telephone. What is the best time to call you? Morning Afternoon Evening If you have any further comments or questions please be specific and enter your questions or requests in the space provided below. Thank you for submitting the information, we will reply as soon as possible by the method you selected as your preference. Please Enter the code as it is shown: [This resource requires a Javascript enabled browser.] the Information (Reset Form)
For multiple choices, press and hold the Ctrl Key while making selections
Yellow Pages-Metropolitan Area Yellow Pages-East County Yellow Pages-North County Coastal Yellow Pages-North County Inland Internet Search Engine Recommendation Email Message Other
I need my existing website redesigned I need a completely new website created I need advertising & marketing advice for my website Do you have text that can be used for your website? Yes No Do you have graphics or pictures? Yes No Do you wish to have post-website training to maintain your site yourself?Yes No Will you be selling a product or products on your website? Yes No Describe your products. Will you be selling a Service on your website? Yes No Describe your services. Do you wish to take credit card orders on-line? Yes No Do you have a merchant's account to process credit cards? Yes No What is the name of your Internet Services Provider? How soon will you be ready to start? As Soon As Possible In about a week In a couple of weeks In about 3 weeks In about a month I'm not sure, I'm procrastinating Please contact me by E-mail Reply. Please contact me by telephone. What is the best time to call you? Morning Afternoon Evening If you have any further comments or questions please be specific and enter your questions or requests in the space provided below. Thank you for submitting the information, we will reply as soon as possible by the method you selected as your preference. Please Enter the code as it is shown: [This resource requires a Javascript enabled browser.] the Information (Reset Form)
I need my existing website redesigned I need a completely new website created I need advertising & marketing advice for my website
Do you have text that can be used for your website? Yes No Do you have graphics or pictures? Yes No Do you wish to have post-website training to maintain your site yourself?Yes No
Will you be selling a product or products on your website? Yes No Describe your products.
Will you be selling a Service on your website? Yes No Describe your services.
Do you wish to take credit card orders on-line? Yes No
Do you have a merchant's account to process credit cards? Yes No
What is the name of your Internet Services Provider?
How soon will you be ready to start? As Soon As Possible In about a week In a couple of weeks In about 3 weeks In about a month I'm not sure, I'm procrastinating
Please contact me by E-mail Reply. Please contact me by telephone.
What is the best time to call you? Morning Afternoon Evening
If you have any further comments or questions please be specific and enter your questions or requests in the space provided below.
Thank you for submitting the information, we will reply as soon as possible by the method you selected as your preference.
Please Enter the code as it is shown: [This resource requires a Javascript enabled browser.] the Information (Reset Form)
Enter the code as it is shown:
[This resource requires a Javascript enabled browser.]