Luminix Creatives Client Intake Form for Website Creation
Luminix Creatives
Email
example@example.com
Contact Information
Name
*
First Name
Last Name
Company Name
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Business Information
Brief Description of Your Business
Current Website URL (If Applicable)
Target Audience Age
*
10 Below
10 to 24 Years Old
25 to 50 Years Old
50+ Years Old
All of the above
Design Preferences
What websites do you admire and why? (Optional)
Preferred Color Schemes (Optional)
Any specific design elements you want to include or avoid? (Optional)
Content Requirements
Do you need content creation services?*
*
Yes
No
Will you provide all the necessary content (text, images, videos)?
*
Yes
No
Can you name some of your company competitors? (Optional)
Budget and Timeline
What is your budget range for this project?*
*
What is your desired launch date?
-
Month
-
Day
Year
Date
Are there any critical deadlines we should be aware of?
Functional Requirements
User Registration/Login Features?
*
Yes
No
Mobile Responsiveness Needed? (Optional)
Yes
No
Maintenance and Support
Do you require ongoing website maintenance and support?
*
Yes
No
File Uploads (Optional)
Upload Your Logo and Branding Materials
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Upload Any Relevant Documents or References
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Submit
Should be Empty: