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Web Site Intake Form
1. personal Information
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Indicates required field
Name
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First
Last
Business Name
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Email
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Existing Web site address
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http://
Address
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Line 1
Line 2
City
State
Zip Code
Country
Contact Phone Number
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2. Information On Existing Web Site
In this section I will collect information about your existing website. If you do not have one, please skip to section 3.
If you have an existing website, please list the URL below.
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http://
In what ways is the existing site falling short?
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What would you like to change, add or subtract from this current website?
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3. Your New Web Site
In this section I will collect information about your new Web site requirements.
Have you purchased a domain name?
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Yes
No
Not Sure
If yes, what is the domain name?
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http://www.
If you own the domain, can you provide us with log-in credentials for it?
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YES
NO
Describe your target audience.
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Be as descriptive as possible taking into account things such as gender, age, interests, heritage, geographical location, financial circumstances... etc.
What is your design budget for this project?
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What is the purpose or goal of your Web site?
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For example: It is a brochure site where I will send potential clients to gather information... OR I want to sell my newly published novel... OR I want to sell products online.
What is your time frame for producing and launching this Web site?
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4. Text and Graphic Content
In this section we will discuss basic needs and navigation.
List the pages you need on your Web site.
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Separate each page with a comma. For example: Home, My Products, About Us, Contact Us, Blog, Links, Calendar, Store.
List images you have and want to use.
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For instance if you have a logo, head shot, picture of your office or group of pictures representing your product or service.
5. Design Style And Branding
Do you have a logo you like and want to use?
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Yes
No
Yes, but it needs work
Please describe any specific style requirements you have for your site design.
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Be as descriptive as you can taking into accoutn things such as color palette, style, texture and layout.
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:
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Describe what you like about site #1:
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Web Site #3:
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Describe what you like about site #3:
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Web Site #2
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Describe what you like about site #2:
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Web Site #4:
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Describe what you like about site #4:
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7. Interactivity and ECommerce
Would you like a contact form?
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Yes
No
Not Sure
Please describe the product(s) or service(s) you will offer online in detail:
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Will the site be selling anything?
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Yes
No
Maybe
If Yes, please select the item(s) from this list that best describes what you will be selling (check all that apply):
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Physical product I will provide or ship myself
Digital product to be electronically downloaded
Dropship product where inventory is not in-house
A service or subscription that they can pay for online.
A reservation fee or down payment
Please describe any other sales features you would like on the site:
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For example: Blog, Online community, internet widgets, apps, online booking, online workshops, specific forms, questionnaires, surveys, etc.
8. Animation/ Audio/ Video
Do you plan to include animation, audio or video?
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Yes
No
Not Sure
If Yes, please describe:
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9. Final Considerations
List any special requirements for accessibility:
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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:
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Submit Form
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