Web Design Intake Form
Name
First Name
Last Name
Email
example@example.com
Phone Number
Format: (000) 000-0000.
What is your estimated budget?
Please Select
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Below $10,000
$10,000 - $20,000
$20,000 - $40,000
$40,000 - $80,000
Above $80,000
What this website is about?
*
What is your current or intended website address?
Approximately how many pages/sections will your website have?
Do you need hosting?
Yes
No
How important is Search Engine Optimization for your website?
Please Select
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Not Important
Somewhat Important
Important
Very Important
Will the existing website content be used?
Yes
No
Who is your target audience?
Do you have a color scheme?
Please list your competitors' websites.
Additional comments
Submit
Should be Empty: