| Name (First, Last) |
|
| Address |
|
| City, State, Zip |
,
|
| Phone |
|
| Email |
|
| Male/Female |
|
| Your Age |
|
| Do you have Children? |
|
| Pets |
What type? |
| How would you best describe your
overall character? |
|
| Which color palette do you find most
pleasing? |
|
| What
types of fashions do you most enjoy wearing |
|
| Which
of the following best describes what is most important to you when
choosing a piece of furniture? |
|
| How
would you describe your personality? |
|
| What
type of decorative accessories would you prefer to have on display in
your home? |
|
| What
is your favorite season? |
|
| Which
type do you see yourself as? |
|
| Tell
us a bit about your self; likes, dislikes are you the serious type,
whimsical, etc |
|
| What
type of hobbies do you enjoy? |
|
| What
will your web site be comprised of? (Product, Service, Personal) |
|
| Are
you supplying graphics? |
|
| How
do you envision your graphics displayed? |
|
| Do
you want frames on any graphics |
|
| Do
you want animation? |
|
| What
style/shape of buttons do you like? |
|
| How
many buttons will you need? |
|
| Do
you like buttons across the top |
|
| Do
you like buttons down the right side? |
|
| Do
you like a combination across top and down right side? |
|
| Additional Comments |
|