Intake

Name *

First

Last

Business Name *

Email *

Existing Web site address *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Contact Phone Number *

2. Information On Existing Web Site

3. Your New Web Site

Have you purchased a domain name? *

Yes No Not Sure

If yes, what is the domain name? *

If you own the domain, can you provide us with log-in credentials for it? *

YES NO

Describe your target audience. *

What is your design budget for this project? *

What is the purpose or goal of your Web site? *

What is your time frame for producing and launching this Web site? *

4. Text and Graphic Content

List the pages you need on your Web site. *

List images you have and want to use. *

5. Design Style And Branding

Do you have a logo you like and want to use? *

Yes No Yes, but it needs work

Please describe any specific style requirements you have for your site design. *

6. Sites you Like

Share with me a list of four sites you like and describe what you like or dislike about each. These sites do not have to be in the same industry as you. You can share sites that you like the "look and feel" of... and/or the functionality, structure or layout. Please be as descriptive as possible when writing your like/dislikes of each.

Web Site #1: *

Describe what you like about site #1: *

Web Site #3: *

Describe what you like about site #3: *

Web Site #2 *

Describe what you like about site #2: *

Web Site #4: *

Describe what you like about site #4: *

7. Interactivity and ECommerce

8. Animation/ Audio/ Video

9. Final Considerations

List any special requirements for accessibility: *

Please carefully review this document before clicking "Submit Form" below. If you have any questions, you may contact us at 417-231-3697.

Please share anything else that you think will help me to begin the design process: *

Web Site Intake Form

1. personal Information