1. What is the purpose of developing (or redesigning or creating) your practice website? Select all that apply
To educate potential and current patients (provide a community service).
To attract new patients and refine our technical mix.
To communicate with other dental organizations and share information.
To generate interest in our dental services (identify prospects).
To enhance our credibility by establishing an Internet presence.
To provide dental service information & save $ in the process.
To improve communication.
To keep existing patients informed about new services.
To facilitate practice communication.
Other
2. List some of the objectives in designing your site.
3. What type of image do you want to communicate? Select all that apply.
Other
4. Describe in a sentence the emotion you want to communicate.
5. What information do you want to collect from your visitors:
6. What have you seen at other sites that you'd like to incorporate? (Supply URL with descriptions.)
7. Do you have any graphics you would like us to utilize?
8. Do you have brochures or other information that would help us develop your site's content?
9. What components would you like? Check all that apply.
Other
10. Do you need help developing a logo?
11. Do you need help with content creation? (Writing or rewriting for the web)
12. Do you want custom graphics?
13. How important is it to you to get a high ranking on Google, Yahoo, Alta or other big search engines?
14. How aggressively have you promoted your site to search engines
15. Please list 5 keywords that you think your potential visitors will type into a search engine, like Google to find your site.
16. Do you want us to monitor site traffic & make changes to the keywords periodically to increase the number of visitors?
17. By what date would you like to launch your site?
18. How often will you make changes to your website?
Never
Daily
Weekly
Yearly
Quarterly
Monthly
19. Will you need someone to update your site?
20. How would you rate your web development understanding?
Excellent, I could do it myself if I had the time.
Good, I understand the general concept behind web design.
Average, I know it from web surfing.
Poor, just one more computer hassle.
21. What level of input do you want to give?
Not, much I want you to adapt our materials for the web.
Some interaction on text, design and features.
I want to be involved every step of the way.
22. Have you registered your domain name?
23. What is your domain name (or what would you like it to be)?
24. Please list the types of dentistry you want to promote in order of importances. These can be changed during site construction. Example: 1. Implants 2. Cosmetic 3. Sedation, Etc
25. Practice and contact information:
Contact :
Company :
Phone# :
Fax# :
E-mail :
Address :
Product Service :
