Website Intake Form

Business Contact Information

Business and Brand Information

Website Information

Website Design Decisions

  • Contact Info
  • About You
  • Website Info
  • Design

Contact Information

What is your Company Name?

What is your professional, business contact e-mail?

What is the best phone number on which we can reach you?

Is this a personal cell phone, business phone, or both?

What is your business address? (If no physical address, type NA)

Business Information

Does your company have an acronym or shortened version of the name?

What is your billing address?

What are your hours of operation?

What is the business' website address?

Business Information

What is your Company Mission Statement? This will help us to understand on a deeper level what your brand is all about.

Tell us about your company. When and why did you start it? Who are your customers, why do they choose you?

What are the products or services you provide to your customer base?

What sets you apart from the competition? Do you have any specific competitors we should be aware of?

Target Audience

Age range


Socioeconomic background


Personality Traits


Domain Name

Desired Domain Name

Domain Name Account

Website Account

If you have a current website, we can use that information and those assets as the foundation for your new website. Providing your credentials, or creating credentials for us to use, will help expedite that process.

Website Username (Account for WordPress, Wix, Shopify, etc)

Website Password

Hosting Account

If you have a current website, you will have a hosting account such as WPEngine, InMotion, SiteGround, GoDaddy, Wix, Shopify, or one of many others. We can use that account to make for a smoother transition.

Server Host

Server Host Username

Server Host Password


Do you have any colors, logos, images, or typefaces (fonts) picked out that you would like us to use? List them below If not, we can propose ideas to you as part of your contract.

Select any assets you have chosen already

Put links, names, or other references to your assets here.

Additional Information

Please list a few examples of websites you like. This gives us an idea of what direction you would like for us to take. You can either type out content, upload a screen shot, or copy and paste a hyperlink. If you do not have any, feel free to leave this section blank, however this will greatly aid us in understanding your brand.

Finally, please list the names of some businesses you take notice of, enjoy, or want to mimic. What brands do you pay attention to that you want your business’ brand to exemplify? Feel free to upload a screenshot of social media, designs, websites, etc below, or enter a hyperlink to the brand's pages. We are looking for inspiration to get our creative juices flowing so we can create engaging, imaginative, and on-brand content for you. The more information we have the better, however, we understand if you leave this space blank.

Upload examples here

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