Web Design Client Questionnaire
Please complete this intake form so Rocky Mountain Web Design can better understand your business goals, website needs, and the Colorado communities you serve.
Client Information
Business Name
*
Contact Person Name
*
First Name
Middle Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Business Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Project Overview
Website Type
*
Please Select
Business Website
E-commerce Store
Portfolio Site
Blog
Landing Page
Membership Site
Other
Project Goals
*
Target Audience
*
Competitors / Reference Websites
Brand Personality
*
Professional
Modern
Creative
Minimal
Elegant
Bold
Friendly
Trustworthy
Playful
Luxurious
Other
Design Preferences
Preferred color palette
Blue
Green
Black
White
Gray
Purple
Red
Orange
Yellow
Pastel
Neutral
Other
Do you have a logo ready?
*
Yes
No
In progress
Upload logo files
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Style examples or inspiration references
Accessibility requirements or accommodations
Select Services You Are Interested In
Services You Are Interested In
Custom Website Design
Small Business Websites
E-commerce Websites
Website Redesign
SEO Services
Local SEO
Google Business Profile Optimization
Website Maintenance Plans
Website Hosting
Speed Optimization
Mobile Optimization
ADA Accessibility
Branding & Logo Design
Content Creation
Digital Marketing Services
Other
Local Service Areas
For example: Denver, Colorado Springs, Fort Collins, or surrounding Rocky Mountain communities.
Lead Generation Goals
Conversion Optimization Priorities
Clear calls to action
Contact form improvement
Phone call tracking
Landing page optimization
Booking or appointment requests
Quote request forms
Better mobile experience
Simpler navigation
Other
Optional Add-Ons
Monthly SEO support
Blog content support
Google Business Profile management
Performance optimization
ADA accessibility review
Analytics setup
Lead tracking setup
Email marketing support
Other
Ongoing Support Packages
Website maintenance
Hosting and support
SEO retainer
Content updates
Local SEO management
Priority support
Quarterly strategy reviews
Other
Website Features & Services
Responsive Design Needed?
*
Yes
No
SEO Services Needed
Basic On-Page SEO
Keyword Research
Technical SEO
Local SEO
Content Optimization
Other
E-commerce Functionality Required?
Yes
No
Booking or Appointment System Needed?
Yes
No
Preferred CMS Platform
Please Select
WordPress
Webflow
Shopify
Wix
Squarespace
Custom CMS
Not Sure
Other
Integrations Needed
CRM
Email Marketing
Analytics
Payment Gateway
Social Media
Live Chat
Calendar
Other
Hosting Provider or Preferences
Maintenance Plan Preferences
Content & Branding
Existing content available?
*
Yes
No
Partially
What content support do you need?
Copywriting
Content editing
Proofreading
SEO content optimization
None
Please describe available images, logos, and other assets
Brand guidelines or style standards
Technical Requirements
Domain Status
*
Please Select
Already registered
Need help registering
Need to transfer existing domain
Undecided
Hosting Status
*
Please Select
Already have hosting
Need hosting recommendations
Need new hosting setup
Undecided
Current Website URL
Required Integrations
*
Analytics and Tracking Needs
Marketing & SEO
Target Keywords
*
Local SEO Needs
Google Business Profile
Local landing pages
Location-specific keywords
Map embeds
Reviews integration
Other
Social Media Requirements
Social sharing links
Feed embeds
Social proof/testimonials
Social media login
Share buttons
Other
Email Marketing Needs
Newsletter signup form
Mailing list integration
Automated welcome email
Lead magnet download
Segmentation/Tags
Other
Timeline & Budget
Desired Launch Deadline
-
Month
-
Day
Year
Date
Budget Range
*
Please Select
Under $5,000
$5,000-$10,000
$10,000-$25,000
$25,000-$50,000
$50,000+
Not Sure
Phase Expectations or Constraints
Ongoing Services
Website maintenance needed?
*
Yes
No
If yes, what maintenance support do you need?
Which ongoing services are you interested in?
Content updates
Security monitoring
Performance optimization
Backup management
Technical support
Other
Additional details about ongoing service needs
Additional Notes and File Upload
Additional notes
Upload supporting documents or assets
Upload a File
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Cancel
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