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REPUTATION 5
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Client Intake Form
Business Name
*
Address
*
Contact Person 1
*
Contact Person 2
Contact Phone 1
*
Contact Phone 2
Email
*
Website Address
*
Brief Description of Business
*
Do you own your domain name?
*
Yes
No
If Yes, with what domain company?
Do you have a logo?
Yes
No
Upload Logo (optional)
Upload File
Brand Colors (List or Hex #)
Preferred Fonts: (Text Styles)
I have preferred fonts
I need help selecting fonts
If YES I have Font Styles List Them
Which design style best fits your brand?
*
Clean & Minimal
Corporate & Professional
Luxury / High-End
Fun & Colorful
Modern & Tech-Inspired
Vintage / Classic
Bold & Dramatic
What emotions should your website convey?
Trust
Excitement
Calm
Luxury
Fun
Friendliness
List Your Own Ideas For Your Website
Websites You Like: (Paste URL's)
Will you provide your own photos?
*
Yes
No
Do you need stock images/video?
Yes
No
Do You Want Animations on Your Site?
Yes
No
Main Pages (select all that apply)
Home
About
Services
Team
Shop/Store
Bookings/Appointments
Blog
FAQ
Testimonials
Contact
Portfolio
Resources / Downloads
Case Studies
Careers
Other
Navigation Style
Simple top navigation
Mega menu
Sidebar navigation
Sticky header
Do you already have written content?
Yes
No, I need help writing
Will you update your site regularly?
Yes
No
If yes, what will you update?
Blog posts
Products
Announcements
Photo galleries
Other
Primary Goals (choose all that apply)
Increase sales
Book more appointments
Educate customers
Improve SEO
Build credibility
Collect leads
Showcase products/services
Provide support
Build a community / membership
Other
Primary Call-to-Action (CTA) Desired:
Book Now
Call Now
Shop
Request Quote
Will you sell products online?
Yes
No
Features needed: (select all that apply)
Variants (size, color)
Digital downloads
Subscriptions
Inventory tracking
Discount codes
Gift cards
Other
Payments
Credit/Debit
PayPal
Stripe
Wix Payments
Buy-Now-Pay-Later options
Other
Customer Interaction Tools
Contact form
Live chat
Chatbot
Appointment booking
File upload
Newsletter signup
Testimonials section
Members-only login
Quote request form
Other
Integrations Needed:
Email marketing (Klaviyo, Mailchimp, Wix Ascend)
CRM
Social media feeds
Google Maps
Third-party widgets
List any tools you use:
Which AI features interest you? (Time-Saving Tools)
AI Chatbot for customer support
AI Appointment Scheduler
Auto-replies to new leads
AI blog or content writing assistance
AI product description generator
AI FAQ assistant
Automated workflows (text/email triggers)
AI-powered sales assistant
Video avatar for introductions
Personalized AI trained on your business
Not sure – please recommend
Other
What tasks currently take the most time? (Examples: scheduling, answering inquiries, quoting, writing blogs, etc.)
Desired Launch Date:
Is the date flexible?
Yes
No
Budget Range:
$3,000–$5,000
$5,000+
Not sure yet
Other
Additional Notes - Please provide any other information that will help us serve you better.
Submit
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