Perfect Website Intake Form
Fill Out the Form Below
Getting Ready for Your Dream Website!
1
SHORT REVIEW
2
WEBSITE INFO
3
CLIENT'S INFO
What Web Service do you want?
*
I NEED A NEW WEBSITE
I NEED TO REBUILD MY OLD WEBSITE
Additional Services
SEO Services
Website Support and Maintenance
Website Optimization
Other
Describe the specific services you want for your website
*
NOTE:
Mark check if you already have the following:
I owned a domain
I owned hosting account
Domain Company Name, URL and Login info: username/password
*
Hosting Company Name, URL and Login info: username/password
*
Enter your old website URL, WordPress Login Username and Password
*
Do you have a logo for the website?
*
Yes
No
Upload the logo here
*
Drop files here or
Select files
Max. file size: 50 MB.
Do you want us to make the logo?
*
Yes
No, just use dummy for now. We'll provide soon
TYPE OF WEBSITE
*
eCommerce Website
Business Website
Portfolio Website
Educational Website
Personal Website
Blog Website
ESTIMATED WEBSITE BUDGET
*
Website Name
*
Website Tag Line / Business Slogan:
Website Phone
*
Website Email
*
Office Address
*
List Office Working Hours
*
Day
Time
List all pages you'll need on the website.
*
List Social Media Account Link (URL)
*
Do you want to use same fonts of the old site?
*
Yes
No
Website Font
*
Website Font
*
Do you want to use same color scheme of the old site?
*
Yes
No
Website Color Scheme
*
Provide atleast 2 to 3 color for your website or URL of the color scheme
Website Color Scheme
*
Provide atleast 2 to 3 color for your website or URL of the color scheme
Do you already have contents for the site?
*
Yes
No, Use dummy for now
Enter the URL where we can get the contents?
*
Do you have the images we can use for the site?
*
Yes
No, Use dummy for now
Enter the URL where we can get the images?
*
Websites References
*
List 3 of the best websites you can find that are an accurate depiction of what you want in a website.
URL
Tell us something you like specifically about this website.
Name
*
First
Last
Phone
*
Email
*
Company Name
*
Expectation of the website
*
CAPTCHA
Phone
This field is for validation purposes and should be left unchanged.