Website Intake Form
Name
First Name
Last Name
Email
example@example.com
Phone Number
Format: (000) 000-0000.
What is your estimated budget?
Please Select
$500-$$1000
$1000-$3000
$3000 and up
What this project is about?
*
What is your current or intended website address?
Will you be taking Payments?
Yes
No
Approximately how many pages/sections will your website have?
Do have a Domain?
Yes
No
How important is Search Engine Optimization for your website?
Please Select
----
Not Important
Somewhat Important
Important
Very Important
Will the existing website content be used?
Yes
No
Who is your target audience?
Do you have a color scheme?
Please list your competitors' websites.
Additional comments
Submit
Should be Empty: