Client Intake Form

Client Questionnaire

* indicates "Required"

Company Contact Information

Company Name*:
Company Address*:
Company City/State/Zip*:
Company Phone*:
Cell Phone:
Company Email*:
Contact Name*:

General

Current (or intended) Web Address:
Name of your web host (if you already have one):
Deadline for the launch of the site:
Please check a box for your budget range:

Project Goals

What goal(s) do you want for your website? (Check all that apply):
Other goals

Tell Us About Your Company

What is your company tagline?:
Brief profile of your company:
Describe your products and/or service:
List the top ten products / services you provide:
Describe your target audience:
Who are your primary competitors?:
What sets your company apart from the competition?:

Tell Us About Your Project

If you have an existing website, what would you like to change about it?:
If you have an existing website, what would you like to keep from it?:
Who will be providing copy for the website, or do you need copywriting services?:
Do you have materials like a logo and photos to use in the design?
Please check the box for any of the elements that you would like?
Please list some websites that you like (in terms of design), and why you like them
List domains below
Why do you like the domain?

*      *      *

*      *      *

*      *      *

*      *      *

Are there any specific colors that you would like to use?
What type of font do you prefer?
Please check the boxes for any words that you would like to be used to describe your new website :

Minimal

Muted

Grungy

Modern

Trendy

Retro/vintage

Elegant

Masculine

Dark

Textured

Grid-based

Nature-inspired

Clean

Hand-drawn

Feminine

Colorful

Bold

Balanced

Photo-heavy

Bright

Illustrated

Text Heavy

Magazine-style

Are there any specific styles or elements that you do NOT want?
Please list any additional comments on the design or style of your new website:
If someone were searching for your product/service on Google, what types of search terms (single words or phrases) might they use?
Some required fields are missing.