Design In-Take Form
Please fill out as many details as possible so we can create the most amazing things.
Client Name
Email Address
Date
Do you want to build a new website or redesign an exisitng one?
Name of your business?
What are your products or services?
What is your business value proposition?
Who are your ideal customers?
Project Goals
Clear design and logical structure
Custom CMS
CMS Platform
Sell Products
Promote New Services
Establishing A Brand
User Experience
Improving Company Image
Other
Other Goals
What is the purpose of your website?
eCommerce
Business
Blog
Portfolio
Event
Membership
Personal
Informational
Educational
Non-Profit
Social Media
Other
Technical Requirements
Website Design
UX User Experience
UI User Interface
Email Design
Email Campaigns
HTML
What pages do you need on your website?
Homepage
Product Page
Product Demo Page
Shipping Page
Pricing Page
Booking
Login / Sign Up Page ( for membership websites )
Account Access Page For Staff
Account Access Page for Clients
Blog
About Page
Contact Page
Search Page
Custom 404 Page
Other
Other
Website Features :
Image Slider
Image Gallery
Blog
Online Ordering
Online Payment
Shopping Cart
Customer Login / Registration
Newsletter
Search
Video Streaming
Forms
Social Media Buttons
Call-To-Action Buttons
Pricing Tables
Maps
Live Chat
Other
Other
What do you like / dislike about your current website?
Are you looking to rebrand?
Yes
No
Do you have current branding guidelines?
Yes
No
Do you need help maintaining your website?
Yes
No
Additional Services
Web Development
Logo Design
Image Optimization
Website Maintenance
Custom Illustrations
Custum Assets
Inforgraphic Design
Application Design
What is your timeframe?
What is your budget ?
I would feel most comfortable paying for the project :
Upfront
Split into equal payments
Partially upfront \ monthly installments
Other
Let's talk about it
Other
Let's get creative !
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