Your Name:
*
Your Phone Number:
Your Email:
*
Preferred method of communication?:
*
Phone
Email
Both
What is the best time of day to communicate about your project?:
*
Morning
Evening
Any Time
Which names have you considered for your App?:
*
What is the main platform of the App?:
*
iPhone
Blackberry
Android
Other
What's the main purpose of your App?:
*
Have you seen any competing Apps? If so, which ones?:
*
Target age group of your App?:
*
5-12
13-17
18-34
35-60
60+
Target region of your App?:
*
Do you own (or have access to) the content for your app already:
*
Yes
No
Not Sure
Will this App require a web interface?:
*
Yes
No
Not Sure
Will this be a free or paid App?:
*
Free
Paid
Not Sure
If paid, how much?:
select...
$0.99
$1.99
$2.99
$3.99
$4.99
$9.99
Other
Will you be promoting a company from your App?:
*
Yes
No
Not Sure
Will you need the App to process payments for a product or service?:
*
Yes
No
Not Sure
Websites that you currently LIKE the look and feel of:
*
Logos that you currently LIKE the look and feel of:
*
What is your FAVORITE iPhone/Android Application?:
*
What's your target time frame for launching your App?:
*
Year
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
What budget range should we tailor the scoped project to?:
*
select...
20-30K
30-50K
50-100K
100-250K
250-500K
Discuss on Strategy Call
I'm not sure yet
Who's your App Consultant here at Appiction?" :
*
Describe Your Idea - The "Vision":
*
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