Website Development Client Intake Form
Don't fill this out if you're human:
Please fill out all required fields marked with an asterisk (*).
Basic Information
Company Name
Contact Person Name
Email
Phone
Role
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Company Overview
Website Requirements
Primary Purpose
Business/Company Website
Online Store
Portfolio
Other
Target Audience
Existing Website
Yes
No
Current Website
Number of Pages
Basic (1-5 pages)
Standard (6-10 pages)
Custom
Design & Content
What content are you able to provide?
Logo
Brand Colors
Professional Photos
Website Content/Text
Need help with content creation
Core Features
Required Features
Contact Form
Image Gallery
Blog Section
Social Media Integration
Newsletter Signup
Customer Login Area
Appointment Booking
Do you need e-commerce features?
Yes
No
E-commerce Details
Approximate number of products:
Product categories (comma-separated):
Payment gateway preference:
Timeline
Desired Completion Date
?
Technical Requirements
Domain & Hosting
Need new domain & hosting
Have domain only
Have domain & hosting
Content Management
Yes - Need content management system
No - Static website is fine
Additional Notes
Please list any other specific requirements:
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