UpRyzze Intake

1

Name* This field is required.Primary point of contact

First Name

Last Name

2

Phone Number* This field is required.Direct line preferred

3

Email* This field is required.Used for follow-up and decisions

example@example.com

4

Are you the primary decision maker for this project?* This field is required.

YESNO

5

Legal business name* This field is required.

6

Do you currently own your primary domain?Include the domain and where it’s hosted, if applicable

Example: www.Website.com On GoDaddy

7

Approximate annual revenue* This field is required.Used to determine scope and fit

8

Business overview* This field is required.

9

Core services offered* This field is required.List your primary services as you would explain them to a customer

10

Do different services require different pages or messaging?* This field is required.

Yes

No

Not Sure

11

Do you require location-specific landing pages?* This field is required.Cities, service areas, or associations (HOAs, regions, etc.)

Yes

I'm Not Sure

No

12

Do you currently take bookings or appointments online?* This field is required.

Yes (scheduling system)

Yes (request form only)

We would like to

No

13

Primary goals for this project* This field is required.(select all that apply)

Replace / redesign existing site

Improve lead generation

Improve brand credibility

Centralize systems (website, marketing, CRM)

Improve SEO

Prepare for Growth

15

Biggest operational frustration right now* This field is required.Focus on what is not working, not desired features

16

Top competitors* This field is required.One per line. Include direct competitors.

17

UpRyzze operates as a professionally built and managed platform. Does this align with how you want to operate?* This field is required.This helps us determine scope and long-term platform fit.

Yes

Possibly, I have questions

No, I'm looking for DIY

18

Typical investment range from $8,500 ~ $35,000 and an ongoing platform subscription $299 ~ $1,299/month depending on complexity and business requirements. Is this within the range you expected for a long-term solution?* This field is required.Used to confirm long-term alignment

Yes

Not sure yet

No

19

Supporting materials (optional)Logos, reference sites, or visual direction

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

20

Anything we should be aware of before deciding next steps?

21

Schedule a consultationThis session is used to confirm alignment, review findings from your intake, and determine whether moving forward makes sense..