Website Services Intake Form -

Full Name

Please enter your full name.

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Email Address

Enter a valid email address.

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Phone Number (Optional)

Enter your phone number, if you’re comfortable.

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What type of website do you need?

Select the type that best fits your needs.

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Briefly describe what your website should include or do

Please describe your website requirements.

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Do you already have a domain name?

Do you have a domain name already?

Yes

No

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Please provide your domain name

Enter your domain name.

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Do you already have web hosting?

Do you currently have web hosting?

Yes

No

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Who is your hosting provider?

Please provide the name of your hosting provider.

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Do you need help with:

Select any areas where you need assistance.

Contact Form

Photo Gallery

Blog Section

Event Calendar

Newsletter Signup

Shop with Checkout

Testimonials Section

Other

Do you have branding elements ready?

Select your branding status.

Yes – I have a logo, brand colors, and fonts

Partially – I have some branding materials

No – I’ll need help with branding

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Do you have existing content ready for the website?

Select your content readiness.

Yes – All content is ready

Some – I have bits and pieces

No – I’ll need help with content

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Estimated Budget

Select your estimated budget for the project.

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Do you have any other notes, questions, or requests?

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How did you hear about this service?