Web Design Intake Form

Please plan to set aside at least 30 minutes to complete this form.

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Web Design Intake Form: About You / Your Business
Your Name*
First Last
Your E-mail*
Business / Organization / Individual Name
Your Title and/or Position
Address or Business Location
Street Address City State / Province / Region ZIP / Postal Code Country
Main Phone*
Additional Phone
Goal / Mission Statement
Describe the products and/or services you offer
Describe your ideal website visitors and/or customers
What do you hope your website visitors will do during or after their visit to your site?
For example, call to schedule an appointment? Complete your contact form? Purchase a product or service?
Top 3 competitors or similar companies
Please include locations and websites, if known.
Other than you, will anyone else be involved in the planning, decision-making, or final approval process?*
- Yes, another person
- Yes, multiple people
- No, just me
Name(s), Email(s) & Position(s) of other team members*
Note: Adding others to the process after a proposal has been issued, or after development has begun, will often require a change order and additional time, and therefore may incur additional fees or an amended scope of work.

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Web Design Intake Form: About You / Your Business