Contact Lori Peterson

 

Lori Peterson
12255 Exbury Street
Herndon, VA 20170

 

Phone: 703-421-9325 (office), 703-307-9888 (cell)

E-mail: loripeterson1@cox.net

Web: www.LoriPeterson.com

Hours: Monday through Friday, 8:00 a.m. to 5:00 p.m.

 

Website Planning Questionnaire

If you would like me to contact you about your website project, please submit this questionnaire. Provide as much information as possible. I look forward to working with you!

Please read my Privacy Policy.

 

Name

E-mail

Phone

Alt. Phone:


Do you already have a website?

 

Yes    No

If yes, what is the name?

Where is the domain registered?

If no, what name would you like to use?


What do you want to do with your website?

 

Attract potential clients/customers

Educate and inform

Sell products or services

Other


What do you want visitors to be able to do when they visit your website?

 

Find information about a topic of interest

Find my contact information

Send me an e-mail

Fill out a request form

Contribute to a blog or discussion forum

Buy products

Other


What pages do you want in your website?

 

About

Services

Products / Order Form

FAQ

Request Form / Contact Me Form

Photo / Media Gallery

Calendar / Schedule of Events

Blog / Guestbook / Forum

Other


Do you want an e-mail address associated with the website name?

 

Yes

No, use my e-mail address:


Would you like to be able to update pages of the site yourself?

 

Yes    No

Daily Weekly Monthly Quarterly


What similar websites have you visited that you liked or disliked? What did you like or dislike about them?

 


Comments or additional information

 


   
Please enter the Security Code below, or click "reset" for a new code. This page will refresh if you enter the wrong code or leave the field blank.

 

security code
Enter Security Code:

 


   

Click "Submit" to send your request. Thank you!