Graphics by Dom - Website Building Request Form
Please complete this form to request website design services. This helps me understand your needs so I can provide accurate pricing and timelines.
Client Information
Name
*
First Name
Last Name
Business /Brand Name
*
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number inculding area code
Format: (000) 000-0000.
Preferred Contact Method
*
Email
Phone
Text Messaging
Facebook/instagram DM
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Website Goals
What's the main purpose of you website?
*
Promote my services
Show my protfolio/work
Collect leads (contact form)
Sell products (small shop)
Bookings/Appointments
Link hub/Simple Landing Page
Other
Describe your business/brand?
*
2-3 sentences
What action do you want visitiors to take the most?
*
Contact me
Book a service/call
Buy something
Join my email list
Follow on social media
Other
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Package Selection
Choose your website package?
*
Starter Website (1-3 pages)
Business Website (4-6 pages)
Custom Website (6-10 pages)
Not sure - help me choose
How many pages do you want?
*
Please Select
1
2
3
4
5
6
7
8
9
10
or more (explain below)
Need extra pages?
*
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Platform Choice
What platform do you want to use?
*
Wix
Weebly
Squarespace
Carrd
WordPress (with a builder)
Not sure - recommend one
Do you have already have an account on that platform?
*
Yes
No
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Domain + Hosting
Do you have a domain? (example: YourBusiness.com)
*
Yes
No
Not sure
if yes, what is your domain?
*
Where is your domain purchased?
*
Godaddy
Namecheap
Google Domains/Squarespace Domains
Other/Not sure
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Design + Branding
Do you have a logo?
*
Yes (I will upload it)
No (I need a simple text logo)
No (I want a logo design quote)
Upload your logo + brand files? (if you have them)
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Brand colors (hex colors if you know them)
Orange, Blue, Red, Etc
Fonts you like (opional)
Pick you style
*
Clean & modern
Bold & Colorful
Luxury/Minimal
Fun/Creative
Not sure - you choose
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Context
Do you have your website text/content ready?
*
Yes (ready to paste or send)
Some of it
No (I need help writing)
Upload any content you already have (photos, text doc, pricing list, ect.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Do you need professional photos?
I have my own
I'll use stock photos
I want a recommendations
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Features
What features do you need?
*
Contact Form
Booking/Appointments
Email List Signup
Portfolio/Gallery
Testimonials
Blog
Small online store (limited items)
Map/Location
Live Chat
Other
Link your social media pages
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Inspiration + Examples
Paste 1-3 websites you LOVE (inspiration links)
Past 1-3 competitor or similar sites
Anything you definitely DON'T want?
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Timeline + Launch
When do you want the website live?
*
ASAP
1-2 weeks
3-4 weeks
Specific date (type below)
If specific dat, please enter it here
-
Month
-
Day
Year
Date
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Budget + Payment
What's your bedget range?
*
Under $200
$200-$400
$400-$700
$700+
Payment acknowledgment
*
I understand a deposit is required to start and, final payment is due before launch.
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Final Notes
Anything else you want me to know?
How did you hear about Graphics by Dom?
Submit
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