Website Design Intake Form

Name(Required)

First Last

Email(Required)

Phone(Required)

Please Enter the Domain(S) You'd Like, in Order of Priority

Would you like Digital Roots Media to handle domain registration and hosting for your website?

What are your primary products/services?

What is your target geography (City/State/Region/National)?

What is your target demographic?

What is your business tag line?

What is your business description?

What is your mission statement?

What are your normal business hours of operation?

Who are your top 3 competitors?

How do you differentiate yourself from your competition?

What is the goal of the website?

Are there any websites that you like or dislike, and why?

Do You Have Any Color Preferences, Existing Brand Colors, and/or Colors You Do/not Wish to Include?

Do You Have All Images That You Would Like to Be Included in Your Website or Would You Like the Designer to Use Imagery Where Appropriate?

Is Your Logo and Other Imagery Web Ready?

Would You Be Interested in Hiring Digital Roots Media to Design Your Logo?

Will This Be an E-commerce Website? Will You Be Selling Any Products or Taking Payments on Your Website?

Deadline, Timing or Exact Date of Completion for Your Website

Do You Have a Budget You Are Trying to Meet?

Do You Need a Copywriter? If You Are Using Existing Copy on Your Current Website, Will It Need to Be Modified in Any Way?

Will You Be Needing an Additional SEO Help? (Ie: Registering With Search Engines, Adding Businesses to Google Business Center, Analytic Setup, Etc.)

Any Specific Features You Would Like Included? (Ie: Log in Ability, Calendars, Forums, Blog, Subscription Services (RSS, Email or Newsletters))

Imagine Your Website in 5 Years From Now. Complete the Sentence: I Know My Website Works Because…

What are the main pages or sections that you would like on your website?(Required)

Will you require ongoing website maintenance and updates after the initial launch?(Required)

Yes

How would you like your new website to be described by visitors?

(Examples: modern, user friendly, bold, corporate, fun, forward thinking, innovative, bright, calming, elegant, clean, minimal, etc.)

Additional comments

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Digital Roots Media is a WordPress Web Design and SEO company with proven results.