Client Intake Form for Custom Website

This form will take about 5-10 minutes to complete. Please fill out as much information as possible to help us better understand how you operate your business, your business needs, your customer, and the goals for this project. 

If you have any questions, feel free to reach out to us anytime at [email protected].

Contact Person:

Business Information

*Note: This is the public email address used for questions or general inquiries. (i.e. Google, Yelp, other directories).
*Note: This is the public phone number used to for questions or general inquiries. (i.e. Google, Yelp, other directories).
Click or drag a file to this area to upload.
*Note: Ideally, your company brand (logo, colors, uniform, etc.) should be consistent throughout the Internet and marketing materials (business cards, flyers, etc.).
The image below will help illustrate why it’s important to have a “Unique Selling Proposition” for your business. Your website should should be built with your “Winning Zone” in mind.
Unique Selling Proposition

*Note: We have available plans and credits you can purchase to help maintain and keep your website secure and updated.
*Note: In a digital world, it’s important to be aware of what’s floating in cyber space in regards to your business. Having a well built website can help control what populates on the search engines.

Hosting & Domain Information

*Note: We can also find domain options for your business if you need help.

Design Examples

List 3 websites you like and why:
List 3 websites you DON’T like and why:


Project Timeline and Budget

Social Media Information

Please provide all your business social media links below. If you don’t have any, we can help set up social media accounts for your business at an additional cost. You can also provide these links later.

If none, please skip this section.