Web Design Intake Form
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MONEY MOUTH MARKETING WEB DESIGN CLIENT INTAKE QUESTIONNAIRE
Client /Business Name
(Required)
Contact Name
(Required)
Email
(Required)
Address
(Required)
Phone
(Required)
Current Website
(Required)
General Information
Why do you want to have a new website, or have your current site redesigned?
(Required)
Do you already have a logo or branded materials such as business cards, stationary?
(Required)
Yes
No
Please provide links to existing material you'd like us to use
(Required)
Please describe your organization in a few sentences
(Required)
What goals do you have for this web project? (i.e. increase sales, build a solid brand, etc.)
(Required)
Who is the primary target audience visiting the web site?
(Required)
B-To-B
B-To-C
Both
B-to-B
(Required)
What size company?
What industries: (professional, manufacturing, legal, etc)
Who in the company (HR Director, CEO, CFO, etc)
B-to-C
(Required)
Income level:
Age:
Education:
Gender:
Geography:
Other:
Competition
(Required)
List the websites of any of your known and competitors
What do you like or dislike about their websites?
(Required)
Content/Messaging
Do you have a Unique Selling Proposition or a brief statement that sums up your competitive advantage?
(Required)
Describe what you do in 10 words or less
(Required)
The importance of first impression is paramount. How should visitors describe your new site?
(Required)
List as many as you like
Look and feel of site
What overall look and feel are you looking to accomplish?
(Required)
Entertaining, inviting, grunge, soft, etc
List sites you love - and why (They do not have to be in your same industry)
(Required)
Do you have an official brand color scheme? IF not please list the colors you like
(Required)
What kinds of images best reflect your business?
Examples: business images, product images, industry, nature, product/service images, etc)
Special Pages/Features/Functionality
How important is Search Engine Optimization (SEO) for your website?
(Required)
Extremely important
Somewhat important
Not very important
What is SEO?
Check all that apply
Filling out forms
Members area (Username/Password login)
Event Registration
Receiving payments (including donations)
Applications
Online calculations/quotes
Downloadable content (pdfs, images, etc)
Uploading large amounts of data (photos, videos, etc)
Site search
Maps (static or interactive)
Online Scheduling
Display advertising (for sale to others)
Rating System
Secure Server (to send sensitive information)
Watching/listening to training
Live Interaction - Live Chat
Live Interaction - Click To Call/Skype
Live Interaction - Live Video interaction
Communicating/chatting with others
Social Media Integration - Simple (likes, sharing, etc)
Social Media Integration - Full Integration (news feeds, social logins)
Additional Input
Please use the space below to provide specific instructions or requirements for feature functionality, content, programming or design:
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