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MA- Website Intake Form
Hi there, please fill out and submit this form.
23
Questions
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1
Name
First Name
Last Name
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2
Your Email
example@example.com
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3
Company Name:
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4
What website url would you like?
Example www.yourwebsite.com
Option 1
Option 2
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5
Contact information that should appear on your website
Primary email if different from contact form email
Contact form email
Phone
Address
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6
What Social Media do you want linked to your site?
Facebook/Meta
Instagram
LinkedIn
X
TikTok
Pinterest
Other
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7
List the profile names for each of your social media pages.
X
Facebook/Meta
Instagram
LinkedIn
TikTok
Pinterest
Other
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8
What does your company offer?
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9
What pages should appear on your website?
i.e. Home page, About, Shop, etc..
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10
What will your website offer?
Services
Products
N/A
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11
Describe the Services/Products that will be featured on your website
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12
Is your website e-commerce? i.e. will you be selling a product that your customers will purchase from the website.
Yes
No
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13
What is the preferred payment method?
Square
Paypal
Stripe
ACH
I Need Help
Other
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14
Who is your target market?
age group, nationality
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15
Please upload your company logo.
Formats accepted: .png, .eps, .pdf, .svg
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
Browse Files
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16
List 3 website that you like.
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17
Describe what you like about them.
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18
What colors would you like used in your website design?
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19
What type of look are you trying to achieve?
i.e. warm, modern, high-tech, simple, etc.
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20
Choose 6 words in the following list that you feel represent the best aspects of your company’s personality... or how you hope your company will be seen by your customers in the future.
Rural/Natural
Intelligent
Offense
Stealthy
Open
Hip
Premium/Luxury
Direct
Knowledgeable
Slow-growing
Defense
Exciting
Friendly
Consistent
Risk Taker
Relaxed
Obsessed
Hard-working
Dynamic
Aggressive
Hot
Controlled
Stylish
Thorough
Cautious
Modern/Contemporary
Smooth
Carefreee
Fast
Straight-Laced
Newer
Conservative
Pro-Active
Older
Easy
Instinct
Joy
Stability
Lucky
Stability
Childish
Healing
High-Tech
Reactive
Observant
Innovative
Trend Aware
Refined
Planned
Energectic
Comforting
Long Term
Security
Soulful
Organized
Soft
Smart
Spiritual
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21
What type of imagery do you feel would be most suitable for your company?
Feminine, Masculine, etc.
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22
I would like Micah Amari to provide stock photography
Yes
No
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23
Upload any content that should be used on each page requested
Bios, Headshots, Text, etc.
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
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24
Any other comments/specific ideas that we should keep in mind while designing your project?
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