Marketing Survey

Personal Information:		  
Your Name:
Company Name:
City:
State:
Zip:
Area Code and Phone: ()
Email Address:
Web Site Info:  
Do you currently have a web site on the Internet? yes no
If so, specify address:
What potential purposes do you see for your web site?
Advertising:
E-commerce:
Customer service:
Entertainment:
Information/education:
What media do you use to promote your business?  

Billboards:

Direct mail:

Brochures:

Magazines:

Radio:

TV:

Newspapers:
Other (fill in space for "other"):
Have you identified your site's target audience? yes no
Do you know your objectives for the web page? yes no
Do you have an estimated budget for marketing? yes no
Please include any additional comments that you think are relevant: