A Need Assessment Form has been submitted from the website.
The following details were specified:
| Contact Details | |
| First Name: | [$fname$] |
| Last Name: | [$lname$] |
| Company Name: | [$company$] |
| Title/Position: | [$job_title$] |
| Street Address: | [$address1$] |
| Apt./P.O.Box/Suite: | [$address2$] |
| City: | [$city$] |
| State/Zip: | [$state$][$zip$] |
| Day Phone Number: | [$dayphone$] |
| Mobile Phone Number: | [$mobilephone$] |
| Email: | [$email$] |
| Website URL: | [$website_url$] |
| Services | |
| Website Marketing Strategy: | [$service01$] |
| Application Development: | [$service02$] |
| Intranet & Extranet : | [$service03$] |
| Search Engine Optimization: | [$service04$] |
| Identity & Branding: | [$service05$] |
| Ecommerce Solutions: | [$service06$] |
| Content Management: | [$service07$] |
| Email Marketing: | [$service08$] |
| Questions & Comments | |
| Questions & Comments: | [$comments$] |
| Need Assessment Questions | |
| Organization Overview: | [$textarea_01$] |
| Project Summary: | [$textarea_02$] |
| Time Frame: | [$textarea_03$] |
| Content/Design Assets : | [$textarea_04$] |
| Site Outline/Scope: | [$textarea_05$] |
| Technical/Functional Overview: | [$textarea_06$] |
| Search Engine Optimization: | [$textarea_07$] |
| Budget Requirements: | [$select$] |
| Comparable/Competitive Sites: | [$textarea_08$] |
| Attach Document | |
| Attach Document: | [$attach_file$] |