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Intake form
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Name
*
Email address
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What type of service are you interested in?
Please select at least one option.
E-commerce Platform Setup
Website Design
SEO Services
Digital Marketing
Consulting Services
What is your primary goal for your website?
Select
Increase Sales
Generate Leads
Build Brand Awareness
Provide Information
What is your target audience?
Please select at least one option.
Individuals
Small Businesses
Corporations
Non-Profits
E-commerce Shoppers
What is your preferred timeline for this project?
Select
Immediately
1-3 Months
3-6 Months
6+ Months
What is your budget range for this project?
Select
Under $1,000
$1,000 - $5,000
$5,000 - $10,000
$10,000+
Have you worked with a website service provider before?
Select
Yes
No
What features do you want on your website?
Please select at least one option.
E-commerce Functionality
Blog
Portfolio
Contact Form
Live Chat
Social Media Integration
Do you have any existing branding materials?
Select
Yes
No
How did you hear about us?
Select
Search Engine
Social Media
Referral
Advertisement
Event
Additional questions or comments
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