INTAKE FORM DESIGN & DEV Please fill out the form below with all of the information you know or have access to. This helps us deliver the best options, and ensures greatest success for your brand design and/or web development. Design & Dev Intake Form Point of Contact First Name * Last Name * Email * Phone Skype ID Brand / Company Info Brand or Company Name * Website/URL * Current or Future Website URL Do you use Social Media for your business? * No Yes Do you operate out of a physical store location? No Yes Location Street Address * Street Address Con't City * State * AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY Zip Code * Location Phone Describe the Product(s) and/or Service(s) Offered * What makes your brand/company stand out from your competitors? * Describe your CURRENT customer * E.g: age, gender, profession, income, geographical area, etc Describe your IDEAL FUTURE customer E.g: age, gender, profession, income, geographical area, etc Project Details I Am Looking For: * New Website Redesign of Existing Website Merge of Existing Websites Logo Design New Branding Rebranding Email Newsletter CRM Setup Ecommerce Online Course Creation Social Media Creation Social Media Optimization Marketing & Advertising Search Engine Optimization Podcast or Vlog Creation Please check all that apply to your project Estimated Budget * Below $1,000 $1,000 – $5,000 $5,000 – $10,000 $10,000 – $20,000 $20,000 – $40,000 $40,000 – $80,000 This helps me choose services and technology for your project. Website Design & Development What do you want your website to provide for visitors? * What do you ENJOY about your existing website? * Please include anything that is a MUST KEEP feature, style, or content What do you DISLIKE about your existing website? * What websites or brands do you like? * Please share URL links and any descriptions of what you like about that site or brand (imagery, colors used, fonts used, content, menus, etc.) Branding & Design Branding and/or Design Items Needed: * Logo Colors Fonts Brand Identity Guide Animated Logos Marketing & Advertising Describe what you are looking for * Please include as much detail as possible. Include descriptive adjectives, include URLs for reference, things to avoid, etc. Do you have existing logos and/or a brand style guide? * No Yes Please upload a high res or PDF of your print-ready logo Drop a file here or click to upload Choose File Maximum upload size: 100MB Vector format logos are ideal (.ai, .eps, .pdf) You can also share any logo/branding content on Google Drive or Dropbox with me at: email@example.com Marketing & Advertising Do you have a Facebook Ad Account & Pixel setup? * No Yes What? A Facebook Pixel is a tracking code installed on websites to monitor user activity on your site for more targeted advertising and marketing. We can install and optimize this for you. Describe your past and/or existing marketing and advertising efforts * Please include locations of advertising, audience targeting, results, etc. Social Media Facebook URL Instagram URL Twitter URL YouTube URL Other Social Media URL Any other comments or info we must know? Referred by? * Who may we thank? User ID & AC Tags Submit If you are human, leave this field blank.