Website Intake Website Design Intake Form Please enter as much information below as you can. You can skip the questions you don't want to answer but please know that the more information we have to work with, the better and more detailed your site will be. Give us a call at 1-800-786-5171 if you have any questions. Step 1 of 5 20% Business InformationName:* First Last Company Name:* Address: Street Address City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Address 2: (If you have another location you want listed)If you have more addresses, please address them inside of the Communication Portal when you get access. Street Address City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Business Phone:*Fax: (If you want it listed on your site)Toll Free Number: (If you have one and want it listed on your site)Website (or desired domain name if not purchased):*Desired Business Email Addresses (If not established):For example: yourname@yourwebsite.comBusiness Days/Hours of Operation:Payment Methods Accept [Highlight all that apply]: Cash Check Debit Card Visa Master Card American Express Discover Diners Club PayPal Invoice Financing Travelers Checks Euro Card In Business Since:Business Logo: Upload HerePhotos (Of Your Business/Equipment): Upload HereMarketing Video URLs: (If you have one you want on your site) Business CharacteristicsA lot of these questions are going to be more basic questions about your company. You don't have to answer all of them, especially if you don't know the answer, but the more we have the better.Tag Line / Business Slogan: (If you have one you want displayed on your site)Specialties (exclusive products, areas of expertise): (IF)Cities Served / Counties Served / Areas Served:Language Spoken (other than English): If you speak multiple languages within your businessDo you offer wifi to your customers?YesNoIs parking available for your customers?YesNoWhere can we find reviews for your business?Please list the websites below:Where can we find testimonials for your business?Video testimonials or written testimonials are acceptable:Brand Names Carried: (IF)Affiliations (BBB Member, Sites / Trade License#, chamber of commerce etc...): (IF)Are you currently using social media (Facebook, LinkedIn, blog, etc.) to communicate? If so, please provide URLs for those pages: Business Details For CopywritingThis section is all about getting the details of your business and your overall goals with your website. We are going to be creating the written words on your website and in order to get people to take action, we need this information to create the most thorough content we can for you. Not everything is needed but the more the merrier. Please describe your business/organization/practice in a few sentences. What services/products do you provide? What is your organization’s personality?:What is the unique story about how and/or why this company/organization began?:What sets your business/organization apart from competitors? Why do you believe people should do business with you rather than with a competitor?:What problems do your clients/patients/customers have that your business solves?:How would you clearly describe what you offer in terms of benefits or features?:Please describe the potential customers you want your website to attract:If you want your website to speak to consumers, what is their income, gender, geographic location, age. etc.? If your website is a business-to-business site, what sort of companies do you want to attract?Why do you want to have a new website or have your current site reworked? (Please be as detailed as possible):What are the goals for your site? What impression do you want visitors to receive upon arriving at your site? What action do you want them to take?:Please provide the links to 3-5 sites you like (competitor or unrelated to your business). What do you like about them? What do you dislike about them?:What are the primary things your customer will be looking for on your site?: Final Business DetailWe just need a little more information about your business and your goals to complete the copywriting for your content creation. Is there specific content or functionality your customer expects to see on your site?:Content examples – About Us, Contact Us, Services, Resources, News, FAQ, Bios, etc. Functional examples – Contact form, shopping cart, calendar, interactive forms, image slideshow, etc.Is there specific content you do NOT want on your site? Please explain:If you have an existing site, how would you describe the current condition of your site’s written content? When was the last time it was updated? Even if you don't like the way it is written, is the information presented accurate?:What words or phrases would people use to find your site via Google search? Think about the words your customers use rather than the words your industry uses.:Are you planning to do online sales? If so, what are the products/services and how many items do you plan to sell online?:What is the first thing you want people to do when they come to your site?:What colors do you want and what colors do you NOT want on your website?: Employee Information and Final QuestionThis is the final page. The last question is whether you have any other information for us to complete your site. If you missed anything earlier, this is where you would enter it.Owner / Employee Names & Bios: (IF)Let us know which employees you want to include on your website. Please include a short bio for each owner/employee.Owner / Employee Photos: (IF)Domain Login Info: username/password (IF)Are there any other requests or any more information you would like to share before we get started on your website?: Δ Share via: Facebook Twitter LinkedIn Pinterest
