Evaluation Form | Prediq Media

Contact Information

Your Name *

Company Name




Email (required)


BrandingSEO - Organic SearchEmail MarketingSEM - Paid SearchSocial MediaPress Releases


CopyBlogVideoInfographicWhite Paper

About Your Project

Who will be the the contact person(s) for your web site?

Domain name

What is the budget for your project?

Is there a deadline for this project?

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 your existing Web Site?
New web site designRedesign of your existing web site

If you have a Web Site will you be using existing content?

About Your Company

Describe the nature of your business.

List the services that your company provides

About Your Website

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

Describe your target audience (i.e. average age, special interests, income level, education level, special needs)

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

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

EntertainmentIncrease salesIncrease corporate, brand, product recognitionIncrease Members

What is the primary message you wish to convey?

Please list some examples of sites that you like:

Sites where you 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:

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

How often would you require updates?

Do you require us to train your employee for updates?

How Did You hear about us?

7000 W. Palmetto Pk Rd Suite 210 Boca Raton, FL 33433 USA

google adwords certified partner google adwords certified partnerHootsuite Certified Professional
constant contact certified SEMPO AMA SFIMA