Web Design Intake Form

This form is the starting point for building a website that works for your business. Take your time with each section. The more detail you give us, the less time we spend in back-and-forth before the real work begins. If a question does not apply to you, leave it blank.

Section 1

Contact Information

Tell us who you are and where to reach you. This is the information your patients and visitors will see.

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Section 2

Domain & Hosting

Where your website lives. If you are not sure of some details, leave them blank and we will help you sort it out.

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You will be asked to share login credentials securely through our onboarding process. Please do not include passwords in this form.
Section 3

Brand Assets

The visual building blocks of your site. Share what you have so we can match your brand.

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If your photos or videos include minors (anyone under 18), you must have signed media release forms on file for every individual. We will not use any images of minors without written confirmation that releases are in hand.
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Section 4

Your Audience

Your website will serve multiple audiences. We need to understand each one so every page speaks to the right person. Complete a block for each segment your site needs to serve.

If you have already completed the Brand Assessment with us, you do not need to fill out this section. Just note that below and continue.

Audience 1

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Audience 2

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Audience 3

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Section 5

Website Pages & Navigation

Select all the pages your website will need. We will use this to build your site map and navigation.

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Section 6

E-Commerce

Only needed if you sell products or services online. If not, choose No and continue.

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Include the name, a brief description, price, and whether it is a one-time purchase or a recurring subscription.
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Section 7

Resource Library

If your site includes a resource hub, tell us how it should work and who will manage it.

Skip this section if your site will not include a resource or content library. Just continue to the next step.
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Section 8

Email Marketing & Integrations

Tell us about the tools you use so we can connect them to your new site.

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CRM, scheduling software, booking tools, etc.
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Section 9

Credibility & Social Proof

The proof that makes visitors trust you. Share your strongest numbers and stories.

Impact numbers are your social proof. Provide the most current and accurate figures you have. These will appear prominently on the homepage and landing pages.
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Section 10

Website Inspiration

Share websites you like and ones you do not. Notes on layout, tone, and functionality all help us understand your taste.

Sites you like

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Sites you dislike

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Section 11

Goals & Final Notes

Your goals shape every decision we make. Tell us what success looks like and share anything else we should know.

If you have already completed the Brand Assessment with us, you do not need to fill out the Goals fields below. Just note that and continue.
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Thank You!

1. Our team will review everything you have shared.

2. We will follow up within 48 business hours if we have any questions or need additional files.

3. From there, we will begin building.

Please submit this form at least 48 hours before your kickoff call. Questions? Email us anytime at support@adodemedia.com.