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Intake form
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Name
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Email address
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What is the primary purpose of your website?
Please select at least one option.
E-commerce
Portfolio
Blog
Informational
What features would you like to include on your website?
Please select at least one option.
Contact Form
Image Gallery
E-commerce Functionality
Blog Section
Social Media Integration
Newsletter Signup
Testimonials
Booking System
What industry does your business belong to?
Select
Retail
Services
Healthcare
Education
Technology
Food & Beverage
Real Estate
Who is your target audience?
Do you have any existing branding materials (logo, color scheme, etc.)?
Select
Yes
No
What is your preferred timeline for launching the website?
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Immediately
Within 1 month
1-3 months
3-6 months
6 months or more
How did you hear about us?
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Search Engine
Social Media
Referral
Advertisement
What is your budget range for this project?
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Under $500
$500 - $1000
$1000 - $3000
$3000 - $5000
Over $5000
Which service or services are you interested in?
Please select at least one option.
Instant website demos
Custom website designs
Rapid website launch
Additional questions or comments
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