Website Design Request Form
Client Details & Business Information
Your name (required)
*
First Name
Last Name
Your email (required)
*
example@example.com
Phone number
*
Format: (000) 000-0000.
Business/Organization Name
*
Please provide a brief description about your business.
*
Please give as much detail as possible.
Who is your target audience?
*
Please give as much detail as possible.
Website Goals & Preferences
What is the primary purpose of your website?
*
Please Select
Informational [Tell people about your business or service]
E-Commerce [Sell products/services online]
Portfolio [Showcase your work or resume]
Booking/Scheduling [Appointments, events, classes]
Blog or Content Hub [Share articles, news, or updates]
Lead Generation [Collect inquiries or emails]
Nonprofit/Community Organization
Other (please specify)
If other, please specify here.
What features would you like included on you your website?
*
Contact Form
Photo Gallery or Portfolio
Online Store/E-Commerce Integration
Blog Section
Events Calendar
Appointment Booking System
Testimonial Section
Social Media Integration
Newsletter Sign-up
Video Embeds
Donation Button
Live Chat
Downloads (e.g. PDF's, Guides)
Other
Do you have a brand aesthetic or color scheme in mind?
*
Please Select
Yes, I have brand colors and will provide them
I have a general idea but need help finalizing
No, I need help choosing a color scheme
Do you have websites you like or want your site to be similar to?
Please list them as links, separated by a semi-colon.
How many pages do you anticipate needing?
*
Please Select
1 (Landing page only)
2-3 pages
4-6 pages
7+ pages
I am not sure -- Need guidance
Do you need help with content writing for your website?
*
Please Select
Yes, I need full content creation
I have some content but need it refined
No, I have all my content ready
Unsure – let's talk about it
What style or mood do you want your website to reflect?
Clean and minimal
Bold and colorful
Feminine and elegant
Earthy and natural
Professional and corporate
Fun and playful
Moody or edgy
Spiritual or faith-based
Other
Domain & Hosting Details
Do you currently have a domain?
*
Please Select
Yes
No
I am not sure what a domain is
If yes, please provide your domain registrar (GoDaddy, Squarespace, Bluehost, Namecheap) AND your login credentials.
If no, would you like assistance purchasing a domain?
Please Select
Yes
No
Do you have a hosting provider?
*
Please Select
Yes
No
I do not know what a hosting provider is
If yes, please provide your hosting provider (Bluehost, Wix, Carrd, Ionos, GoDaddy) AND your login credentials.
If no, would you like assistance purchasing a hosting plan/provider?
Please Select
Yes
No
Website Content
Do you already have a logo?
*
Please Select
Yes
No
I would like one created for me
Do you have content ready for your website? (e.g. videos, photos, introductions, etc.)
*
Please Select
Yes
No
I would like help with content creation
Budget & Timeline
What is your budget range for this project?
*
Please keep in mind that all websites, including just a landing page will start at $300.
Desired Launch Date
*
Maintenance & Support
Would you like ongoing website maintenance after launch?
Please Select
Yes
No
Additional website maintenance included, but not limited to: Marketing & SEO Support, Website Training, Website Maintenance Packages (monthly updates, backups, etc.), Content Refresh Packages, Tech Support Add-On
Any additional information you would like for me to know?
Enter the message as it's shown
*
Submit My Quote Request
Clear Form
Should be Empty: