Intake Form

Note: The '*' symbol denotes a required field

Your Name:*

Your Email:*

Your Phone Number:

Company Name:*

Company Address:

Existing Website:

Do you have a current website?*
YesNo

If you have a current site, please provide your website URL:

If you have a current site, what don’t you like about the current site, or how is it falling short?

If you have a current site, what do you like about the current site, or in what ways is it doing well?

New Website:

Do you already have a domain name?*
YesNo

If yes, what is it? Please also include the company you registered it with:

If no, what domain names would you like to have? Please list top 3 choices:

Would you like a business email address to match your domain?*
YesNoNot Sure

Describe your products, services, or the purpose of your website. Be sure to include anything that makes your company unique*

Describe your target market or who your customers are:*

If you know what pages or sections you would like to include, please list them below. If you do not know what sections you want, just put “I don’t know”. We are happy to help determine appropriate content. (Example: About section, Contact, Pricing, etc)*

Do you need a content management system (CMS) for your new website?*
YesNoNot Sure

Will you be selling products (ecommerce) on your new website?*
YesNo

If you answered yes above, about how many products do you plan to sell?
1-1010-100100+

Do you need a logo or branding?*
YesNoMaybe

What is some specific website functionality you would like included on your new website? (Blog, Calendar, Quote Form, etc)*

New Website Design:

How would you describe the look and feel you desire for your new website or brand? Please list at least 3 words or descriptions. (Examples: elegant, minimalistic, bold, dark, classic, clean, easy to use, edgy, bright colors, corporate, etc)*

Do you have a color scheme? If not, what is your color preference?*

Please list your competitors' websites. What do you like and don’t like about their websites?

Are there any particular websites that you like? Why? (Examples: page elements like headers, menus, sidebars, colors, typography, photos, etc.) Please share a list of sites and describe what you like or dislike about each. These sites do not have to be in the same industry. You can share sites that you like the "look and feel" of, and/or the functionality, structure or layout. Please be as descriptive as possible when writing your likes/dislikes of each.

Website #1 URL:
Website #1 Likes/Dislikes:

Website #2 URL:
Website #2 Likes/Dislikes:

Website #3 URL:
Website #3 Likes/Dislikes:

Logo:

Do you have a logo?*
YesNoYes, But Needs Work

If you don’t have a logo and need one, please include any descriptions of your desired logo (tree, people, color, black and white, elegant, minimal, geometric, etc)

Content:

Please include what contact information you would like to display on the website (address, email, phone, etc):*

If your website will have an 'About' section, please write any information you would like to be included:*

Do you have any other specific copy/text that needs to be included? Please either write in the area below, or attach using the uploader below.

If you are selling products, please list, or attach your pricing sheet, along with shipping information broken down by product, region, or other method.

Please attach any images you wish to be included on the website (Please note, where applicable we may suggest additional photos be acquired to maximize user experience):