LKC Media — Website Intake Form
Share your business details, website goals, design preferences, and timeline so we can prepare a tailored proposal.
Business Information
Business Name
*
Your Name / Contact Person
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Business Website (if you have one)
Business Address / City
*
Industry / Type of Business
*
How did you hear about LKC Media?
Please Select
Google Search
Referral from a friend
Social Media
Flyer/Leave-Behind
Other
Website Goals
What is the main goal of your website?
*
Get more leads/inquiries
Showcase my services or portfolio
Provide info about my business
Allow clients to book appointments
Share blog content
Other
Do you currently have a website?
*
Yes
No
If yes, what is the URL and what do you dislike about it?
Who is your target customer?
*
Who are your top 2-3 competitors?
Design Preferences
Which package are you interested in?
*
Starter Site — $500 intro (4 pages)
Growth Site — $750 intro (up to 7 pages)
Not sure yet — help me decide
Do you have a logo?
*
Yes — I'll upload it
Yes — but I need it updated
No — I need a logo designed (+$150)
Logo upload
Upload a File
Drag and drop files here
Choose a file
Cancel
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What colors represent your brand?
List 3 websites you like the look of and why
What feeling should your website give visitors?
Professional & trustworthy
Modern & cutting-edge
Warm & friendly
Bold & energetic
Clean & minimal
Other
Content & Pages
What pages do you need?
Home
About
Services
Contact
Blog
FAQ
Team/Staff
Gallery/Portfolio
Testimonials
Booking/Scheduling
Do you have written content ready for your site?
Yes — fully written
Partially — I have some
No — I need help with copy
Do you have professional photos?
Yes
No — I'll use stock photos
No — I need a photographer
What are the 3 main services or products you want to highlight?
*
What makes your business different from competitors?
*
SEO & Google
What city or area do you serve?
*
What would a customer type into Google to find you?
*
Do you have a Google Business Profile?
Yes
No
Not sure
Do you want monthly managed hosting?
Yes
No
Tell me more
Do you need a professional email address (e.g. you@yourbusiness.com)?
*
Yes — set me up ($8/month per inbox)
No
Tell me more
If yes, how many email inboxes do you need?
Add-ons & Timeline
Are you interested in any add-ons?
Logo design — $150 (with site)
Custom integrations — client-supplied APIs +$200
Rush delivery 48hrs +$150
Extra pages +$75 each
When do you need your website completed?
*
Please Select
ASAP — rush applies
Within 2 weeks
Within 1 month
Flexible — no rush
Any other notes, special requests, or questions for us?
Submit
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