Website Intake Form

Name *

First

Last

1-2 timeframe company

Company Name *

Position

Current Website / URL

Email *

Address

Address Line 1

Address Line 2

City

State

Zip Code

Describe your company in 1-2 sentences: *

Please list each service and/or all products you offer *

Describe your target market: *

Where is your target market located? *

List any online competitors and their website address: *

Why do people buy from you instead of your competitors? *

(unique value propositions, price, your team, experience. etc)

What is the primary purpose of your site? *

(share information, leads, sales)

What is the secondary purpose of your site? *

(share information, leads, sales)

What actions would you like a user to take when they visit your site (please list in order of importance)? *

For example: * Call you * Fill out a contact form * Fill out a quote form * Sign up for your mailing list * Search for information * Purchase a product(s)

Will your visitors have an option to login? (If yes, please describe) *

Are there any additional features or capabilities that you would like for your new site to have? *

What elements of your existing site do you like, and what do you not like? *

How many pages will your new website be? *

Do you have someone that can help with content? *

Do you have ownership of all images for the site, or will you require purchasing stock photography? *

Yes
No
Stock Purchase

Do you have videos you’d like incorporated into the site? *

Do you have brand guidelines, logo(s), and brand colors to incorporate into the site? *

Please provide 3 examples of websites you like, and describe why:

Website / URL #1 *

Website / URL #2 *

Website / URL #3 *

What are three words that best portray your company’s image?

(professional, polished, modern, fun, creative, simple, etc.)

Have you performed SEO on an older or current version of your existing site? *

Please provide a few example key phrases you would like to target in search engines *

Do you provide a local service to your city? (Local SEO) *

What social media channels does your company currently use?

What social media sites would your company like to start using in the future?

Where is your current domain Registered?

What platforms are you interested in using or do you have experience with? *

(WordPress, Joomla, Drupal, Magento, etc…)

Where is your current site hosted? *

Example: BlueHost, A2 Hosting, GoDaddy, Not Sure

Do you use an email marketing service that you’d like integrated? *

Who will be the point person for this project, and who will provide approvals? Please provide their contact information. *

Please list the person who has final approval on all aspects of this project: *

What is your ideal timeframe or launch date? *

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