Detailed Project Intake Form
First Name
Last Name
Preferred Email
Preferred Phone Number
Website for Project
Project Type (Check As Many As Apply)
Website Design & Development
Custom WP Development
SEO
Pay Per Click/SEM
Social Media
Lead Generation
Content Marketing
Inbound Marketing'
Online Marketing
Conversion Optimization
Digital Strategy
Mobile App Development
Mobile Marketing
Marketing Automation
Sales Automation
Web Hosting & Maintenance
Video Production
Video Marketing
Webinar Marketing
Branding (Inc logo design)
Project Goals & Objectives
Build Credibility
Provide Information
Generate Leads
Educate Consumers
Company Intranet/Portal
Customer Registration/Account
Sell Products/Services Online
Other Goals & Solutions
Other Project Goals & Objectives
Enter short description of any other needs or objectives your website or project may need.
Additional Information or Requirements
Estimates Project Start Date
Immediately (within 2 weeks)
Within 2-4 Weeks
Within 4-8 Weeks
Within 8-12 Weeks
12 or more weeks out
Budget Allocated for Project
Less than $5,000
$5,001-$10,000
$10,001-$20,000
$20,001-$30,000
$30,001-$50,000
$50,001-$100,000
$100,001-$250,000
$250,001-$500,000
$500,001+
Business Name
Business Website (If Different Than Above)
Business Type
For Profit
Non-Profit
Other
Approx. Business Start Date
Primary Customer Type
B2B (Business 2 Business)
B2C (Business 2 Consumer)
Government Entities
Blended - B2B & B2C
Ballpark Annual Revenue
Who are the primary decision makers for this project?
How is this type of decision usually made or going to be made?
By Company Owner
By Company Executive Team
By Board of Advisors
By Partners
A Combination of the Above
Current Online Marketing Budget
$0-$1,000
$1,001-$5,000
$5,001-$10,000
$10,001-$25,000
$25,001-$50,000
$50,001+
What online marketing are you using now or have used in the past?
Website
Email Marketing
Newsletters
Paid Search: Adwords, Bing
Search Engine Optimization
Local SEO
Directory & Review Sites
Social Media Marketing
Social Media Paid Ads
Articles, Press Releases
Retargeting/Remarketing
Blogging
Inbound Marketing
Content Marketing
Webinars
Seminars
Direct Mail
ROI from Online Marketing
Don't Know
None
1-5%
6-10%
11-25%
26-40%
41-50%
51-70%
71-99%
100%+
What Online Marketing Works Best for you?
What online marketing works worst?
Have you ever worked with a marketing agency or web design company before?
Yes
No
Was it a good experience or bad experience?
Tell us a little bit about why it was good, bad, or indifferent please.
Who handles your marketing internally?
What qualities are most important when selecting a partner for your website and marketing needs?
What would prevent us from working together?
How would you define success when working with a company like ours?
Any other info or questions for us?
Enter any other relevant info or questions you may have here.
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