Website Worksheet
Intake form for new clients
Step
1
of
7
14%
What kind of website do you need?
(Required)
Select
Information
WooCommerce
Retail
Home Based Services
Online Retail
Other
Is there currently a website you are using?
(Required)
Select
Yes
No
What is the domain?
(Required)
What is the name of your Company?
(Required)
Use N/A if this project is not a company website
What is the title of the person filling out this form?
Contact Name
(Required)
First
Last
Best Phone Number
(Required)
Email
(Required)
Address
(Required)
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Tell Us More About What You Are Currently Using
What does your Company do? What are the products and services you offer?
(Required)
Who are the decision makers for this project?
(Required)
What budget have you allocated for this project? Be honest otherwise we will not know if we can accomplish what you are trying to achieve.
(Required)
< $1,000
$1,000 - $3,000
< $6,000
What Are We Doing?
If you currently have a website, is there anything about your current site that currently working for your business and if so, why?
(Required)
If you currently do not have a website please write, "do not currently have one and that is why I am talking to you silly."
How do you want people to feel when they interact with your brand? Safe and secure, edgy and excited, exclusive and cool, like they belong?
(Required)
Designs Concept
If we were to be celebrating a successful website strategy in 12 months time, what would that have to look like? How many website visitors? How many leads? How many sales? Be as descriptive as you possibly can.
(Required)
Who are your competitors?
Competitor #1
What is the name of competitor #1?
(Required)
Does this competitor have a website?
(Required)
Select
Yes
No
What is their web address?
(Required)
Competitor #2
What is the name of competitor #2?
(Required)
Does this competitor have a website?
(Required)
Select
Yes
No
What is their web address?
(Required)
Competitor #3
What is the name of competitor #3?
(Required)
Does this competitor have a website?
(Required)
Select
Yes
No
What is their web address?
(Required)
What Does Success Look Like?
Give us your main reasons for needing a new website. It's important to set SMART goals because it keeps all of us on the same page and moving in the same direction. These are goals that are specific, measurable, achievable, relevant and time-bound. That being said, what are the top 5 business needs of your new website?
(Required)
Please be specific and do not
Additional Comments...
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Email
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