Web and Graphics Designer, Marketing, Social Media, Networking and more... - Niccole Lowe

Web Site Design Questionnaire

Dear Client:


You have reached this page because you are thinking about having a website and want to see a design first.

By submitting this form you are requesting us to create a design mockup for your new website. You are under NO OBLIGATION to purchase my services until you approve the mockup and agree to move forward with the project. This is a FREE SERVICE I provide potential clients to boost confidence in my work. You get to SEE what you are buying BEFORE you buy it!

Please fill out the questionnaire so I can get a better idea of what you want your site to look like. Then, I will get started on your project.

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* Required information.
Your Name: *
Your Email: *
Your Phone Number: *

What colors would you like me to use? (Please limit it to 3 colors.) :


Website Colors:
What colors would you like me to avoid?

List three to five websites you like the looks of and explain why. What part or parts do you like? (I do not copy work. This is only to get a feel of what you like.) :


Websites You Like

Will you be providing me with images to use in the creation of our site? IE: photo of you, products, logo, etc.. :


What is your budget? This helps me to do a proposal and / or mockup suitable for your budget range. Please remember whatever price range you choose will determine the quality of your website and it's elements. If you would like to get a custom quote or schedule a consulation first please contact me or use the FREE PROJECT QUOTE form prior to requesting a FREE MOCKUP. *
$0 - $300
$301 - $700
$701 - $2200
$2201 - $5000
$5000 +
Do you have a website already?
If So What is the URL / Address?
If you do not have a website already, what would you like your domain name to be? (I will check it to see if it is available.)
Anything else I should know about your new website? :
Upload Your Logo


If you do not see a THANK YOU page after clicking the submit button then your information was not submitted.

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Website designed & Maintained by Niccole Lowe - Lowe's Digital Publishing - www.theideagirl.net



Providing quality products and services to not only the following Pennsylvania Regions including: DuBois, Clearfield, Treasure Lake, Brookville, Ridgway, St Marys, Brockway, Cook Forest, Sigel, Clarion, Indiana, Punxsutawney, and other Pennsylvania but to the world!