Website Design Intake Form
Welcome! Please take a few minutes to answer the questions below so I can better understand your needs and recommend the best website package for your business.
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
What is the name of your business or brand?
What does your business do?
Who is your ideal customer or target audience?
Do you have existing branding (logo, colors, etc.)? (Multiple choice)
Yes
No
I need help branding
What is the main goal of this website? (Checkboxes)
Generate leads
Sell products and services
Showcase portfolio
Provide information
Other
What actions would you like visitor's to take? (Checkboxes)
Call or email you
Book a service
Fill out a form
Purchase something
Other
Is this a new website or a redesign? (Checkboxes)
New website
Redesign
Not sure
How many pages do you think you will need? (Checkboxes)
1 (Landing page)
2-3 Pages
4-5 Pages
How many pages do you think you will need? (Checkboxes)
1 (Landing page)
2-3 Pages
4-5 Pages
More than 5
Not sure yet
What features do you want on your website? (Checkboxes)
Contact form
Booking system
Blog
Portfolio or Gallery
E-commerce (Online store)
Live chat
Login members area
Other
Do you have a preferred color scheme or style?
Are there any websites you like the look of? (Share links if possible)
Should the site match existing branding? (Multiple choice)
Yes
No
Will you be selling products or services online? (Multiple choice)
Yes
No
How many products will you offer?
Do you need payment systems like Stripe or PayPal? (Multiple choice)
Yes
No
Do you already have the written content for your site? (Multiple choice)
Yes
No
I need help writing it
Are you interested in SEO services to help your site rank on Google? (Multiple choice)
Yes
No
Do you already have a domain name? (Multiple choice)
Yes
No
Do you need help setting up email accounts? (Multiple choice)
Yes
No
Will you need monthly maintenance after the site is live? (Multiple choice)
Yes
No
Not sure
What’s your ideal timeline for completing the website? (Checkboxes)
1-2 Weeks
2-4 Weeks
1-2 Months
No rush
What’s your estimated budget range? (Multiple choice)
Under $500
$500 - $1000
$1000 - $2000
$2000+
Not sure
Have you worked with a web designer before? (Multiple choice)
Yes
No
How involved would you like to be in the process? (Multiple choice)
Very involved
Some what involved
Is there anything else you'd like me to know?
Submit
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