📋 Website Intake Form

📋 Website Intake Form

Please fill out this form to the best of your ability. We will follow up if we need more information as we work on your website.
We will send a separate form later to collect pictures, logos, and other media.
⚡ Note: This information will be used to create your free website preview. You are under no obligation to purchase until you have reviewed the preview and chosen to move forward.
1. Business & Contact Info
Business Name (exact spelling and capitalization)
Owner/Primary contact name

First NameLast Name
Show Owner/Primary contact on website?

YesNo
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address as shown to customers - If customer facing. You can leave blank or enter just the city

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Do customers visit this address?

YesNo
Do you want address shown on website?

YesNo
2. Business Overview
Short description of your business (what you do, who you serve)
Tagline or slogan (if any)
What makes your business unique (your selling point)?
Why was the company founded?
Do you already have a website?

YesNo
What is the address?
What do you like about your current website?
What do you Not like about your current website
3. Catching Leads
Who is looking for you online?

Residential clientsOther businessesBoth
How should customers contact you?

PhoneEmailText
4. Services/Products
List your main services
Any equipment/resources you want customers to know about?
Do you serve a specific area? (town, county, region, etc.)
5. Branding & Visuals
Do you have a Logo - If Yes, it will be collected later

YesNo
Any brand colours associated with your business?
Do you have professional photos?

Yes, I have professional photosNo, please use stock photos
Do you want to display photos of completed projects/products?

YesNo
Any design styles you like or dislike? (share examples if possible)
6. Content
About your business (story, team, history, etc.)
Do you want to show testimonials/reviews? If yes, it will be collected later

YesNo
Do you have licenses, certifications, or associations you’d like showcased?
7. Forms
For contact forms, what fields should it include? Standard is Name, email, phone, message. We can add any field you want.
8. Technical & Setup
Do you already own a domain (e.g., yourbusiness.ca)?

YesNo
Enter your domain name
Do you have current login/access for this?

YesNo
Are you using this domain for professional email address (e.g., info@yourbusiness.ca)?

YesNo
Do you already have hosting for your website (e.g., GoDaddy, SiteGround)?

YesNoNot Sure
Who is hosting your site now?
Do you have current login/access for this?

YesNo
Do you currently have a Google Business Profile set up?

YesNoNot Sure
Social media links (Facebook, Instagram, X, etc.)
9. Package Choice

This can be changed later before you approve the site.
What type of package where you interested in?

Pay Once - Basic $350Pay Once - Professional $700Subscription - Basic $49/monthSubscription - Professional $99/month
Please verify that you are human*
Signature
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📋 Website Intake Form

1. Business & Contact Info

2. Business Overview

3. Catching Leads

4. Services/Products

5. Branding & Visuals

6. Content

7. Forms

8. Technical & Setup

9. Package Choice