Website Services Intake Form

Let’s Build Your Online Presence

Whether you're starting from scratch or leveling up your existing website, E-Consults is here to help. This form helps us understand your goals, your brand, and the type of online experience you want to create.

We offer full-service website solutions—including custom design, buildout, and optimization—to ensure your site not only looks great but also performs.

Please take a few minutes to share your vision with us. The more detail you provide, the better we can deliver a site that meets your goals and grows with your business.

Name

First Name

Last Name

Phone

(###)

###

####

Business Name

Do you have an existing website?

What is the primary purpose of your website?

(e.g., Informational, eCommerce, lead generation, booking services)

What specific features or functionalities do you require?

(Please select all that apply)

Blog or news section

Contact form

Online store / eCommerce

Booking or scheduling system

Portfolio or gallery

Newsletter signup

SEO Optimization

Mobile responsiveness

Other

Who is your target audience?

Do you have existing branding assets?

Describe your preferred website style or aesthetic.

(e.g., Minimal, bold, colorful, modern, corporate, creative)

Are there any websites you admire or wish to emulate?

(Please provide links and specify what you like about them)

Do you need assistance with domain registration or hosting setup?

Will you require content creation or copywriting services?

Are there any specific technical requirements or integrations needed?

(e.g., CRM integration, payment gateways, third-party APIs)

Would you like ongoing website maintenance or support services?

What is your desired launch date?

YYYY

What is your budget range for this project?

(This helps us propose solutions that fit your financial plan)

Is there any additional information or specific requests you'd like to share?