Greg's Web Design KC
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Web Design Intake Form
Help us understand your project so we can build the perfect website for you.
✅ Your web design request has been submitted! We'll be in touch soon.
Your Contact Information
Full Name *
Business / Organization Name
Email Address *
Phone Number
Project Overview
What is the main purpose of your website? *
Select one
Business / Portfolio
E-Commerce / Online Store
Blog / News
Restaurant / Food Service
Non-Profit
Personal
Other
Describe your business and what you do *
Do you have an existing website?
Estimated Budget
Select a range
Under $500
$500 – $1,000
$1,000 – $2,500
$2,500 – $5,000
$5,000+
Flexible / Not sure
Pages & Features Needed
Which pages do you need? (check all that apply)
Home
About Us
Services
Portfolio / Gallery
Blog
Contact
FAQ
Shop / E-Commerce
Booking / Appointments
Special features needed? (check all that apply)
Contact Form
Photo Gallery / Slideshow
Social Media Integration
Live Chat
Newsletter Signup
Online Payments
Google Maps / Location
SEO Optimization
Design Preferences
Overall style preference
Select one
Modern / Minimal
Bold / Colorful
Professional / Corporate
Elegant / Luxury
Friendly / Playful
Not sure – open to suggestions
Desired launch timeline
Select one
As soon as possible
Within 1 month
1 – 3 months
3+ months / flexible
Preferred colors or brand colors (if any)
Any websites you like as inspiration?
Anything Else?
Additional notes, questions, or requirements
Submit Web Design Request
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