New Website Intake Form

1

Your Business Information

Your Name *

Business Name *

Phone Number *

Email Address *

Business Address *

Service Area

Years in Business

Number of Employees

How did you hear about us?

Text message from Leadline Web Google search Referral from someone I know Social media Other

Business Hours

2

Your Services

List your main services *

List each service on its own line. These will appear on your website's Services section.

What makes your business different from competitors?

Do you have a slogan or tagline?

3

Design Preferences

What colors would you like on your website?

Do you have any websites you like the look of?

What feeling should your website give visitors?

Professional & trustworthy Bold & confident Friendly & approachable Premium & upscale Clean & minimal Local & community-focused

4

Photos & Logo

Do you have a logo?

Yes — I will email it to youSend to contact@leadlineweb.com after submitting this form

No — please create a simple text logoWe'll use your business name in a clean font

No — I don't need one

Do you have photos of your work or team?

Yes — I will email them to youSend to contact@leadlineweb.com — the more the better!

No — please use stock photosWe'll select professional photos that match your industry

I have some but not manySend what you have and we'll fill in the rest with stock

5

Website Goals & Features

What is the #1 goal of your website?

Get people to call me Get people to fill out a contact form Show my work and build credibility Get people to visit my location

Which features do you want on your website?

Contact form Photo gallery Google Maps embed Testimonials / reviews section Pricing section FAQ section Social media links Online booking / scheduling

Do you have social media pages?

6

Domain Name

Do you already have a domain name (website address)?

YesWe'll connect your existing domain to the new site

No — I need oneWe'll help you pick and register one (~$12–15/year)

Not sureWe'll figure it out together

If yes, what is your domain name?

If you need a domain, what names are you considering?

Don't worry if you're not sure — we'll suggest options based on your business name.

7

Anything Else?

Is there anything specific you want us to know about your business or website?

When would you like the website to be finished?

As soon as possible Within 2 weeks Within a month No rush