client intake form
Web Design Intake Form
Contact Information
First Name
Last Name
Company/Organization Name
Email
Phone Number
Preferred Contact Method
- Select -
Email
Phone
No preference
Previous
Next
Project Overview
Brief Project Description
Type of Website Required
- Select -
Business
E-commerce
Portfolio
Blog
Other
Is this a new website or redesign?
New Website (never had a website before)
Redesign of existing website
Have your purchased your new domain?
- Select -
Yes
No
Registered by another agency
Where is your domain registered?
- Select -
Lets Host
Register365
Blacknight
Hosting Ireland
Registered via Wix
Registered via Shopify
Other
Not too sure
Would you like us to register your domain for you? This incurs a fee of €50+vat per year.
Yes
No
Are you changing your current domain/URL?
Yes - I am migrating to a new domain/URL
No - I am keeping the same domain/URL
What is your current URL?
What is your new URL?
Have you purchased this new domain?
- Select -
Yes
No
What's drove your decision to start this project?
Previous
Next
Project Overview
What does your business do?
Who is your target audience?
What are your main business goals?
Who are your main competitors?
What makes you different from competitors?
Previous
Next
Website Goals & Functionality
What is the primary goal of your website?
Key actions you want visitors to take
Required pages/sections
Special functionality needed
Integration needs
Previous
Next
Design Preferences
Websites you like (and what you like about them)
Websites you dislike (and why)
Preferred color schemes
Style preferences (modern, traditional, minimalist, bold, etc.)
Logo/branding materials available
Previous
Next
Content & Media
Any professional photos or imagery you would like to use, please upload below
Choose File
Upload your logo
Choose File
Upload your brand style guide
Choose File
Logins & Access
Please list out all of your login details & access to hosting, current website backend etc. - alternatively, list out your current providers and we will reach out directly to either be added as a user, or get login details directly,
Save & Resume
Submit Intake Form
Previous