Client Intake Form

To better serve you, the information gathered from this form is incredibly important. Please take a few moments to fill out the portions of the form which relate to your project, and I’ll be sure to contact you within 12 hours.

About You

First Name (required)

Last Name (required)

Your Email (required)

Company Name

Billing Information

Billing Contact (required)

Street Address

City

State

Zip

Project Requirements

What is the timeline/schedule of this project?

If there is a specific deadline, what is that date?

Website Specific

What is the primary goal of this website (lead generation, eCommerce, information, blog, content, other)?

Are there specific pages or functions you require? If so, what are they? (i.e. contact form, email sign-up integration, eCommerce, etc.)

Will you want to be able to change the content on the website yourself, or do you wish to have that managed as a monthly service?

What is your budget and what are your constraints?

Do you have hosting, or do you require hosting?

Are there any current websites you like? If so, please list them here.

Are there any current websites you dislike? If so, please list them here.

Are there specific pages you desire (About us, Products/Services, Contact Us, etc.)? If so, please list them here.

Will this be an eCommerce Website that will take online payments?
yesno

Will this site require a password-protected area?
yesno

Will your site utilize video?
yesno

Do you have a domain name?
yesno

If you have a domain name, what is it?

Design Specific

Is your project digital or in print or other?

Do you have a logo? If so, please attach it here.

If you don't have a logo, would you like one designed? If so, please let us know your vision here.

Do you have a specific color scheme and/or Pantone colors? If so, please list them here.

Please describe any graphics that you will provide here.

Please describe any graphics that you require to be provided/designed.

What emotions do you wish to evoke in your customer?

Do you want a serious design or something more "fun"?

Your Enterprise

What is your target customer (gender, age, income level, etc.)?

What is your target geographic reach?

How long have you been in business?

What is the nature of your business (industry, B2B, B2C)?

Other Comments

Your Message

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