New Client Intake Form

// W-Logic LLC · Web Services · Complete all sections before kickoff call

01 Business

02 Project

03 Design

04 Technical

05 Review

Business Information

Business Name *

Industry / Type *

Owner / Primary Contact *

Email *

Phone

City / State

Current Website (if any)

How long have you been in business?

Approx. number of customers / patients / clients served to date

Project Scope

What do you need? *

Static HTML website (fast, secure, no WordPress) WordPress site (need CMS to update content myself) E-commerce / online store Review Engine (automate Google reviews) SEO / GEO / AEO (get found on Google + AI search) Managed Hosting (handle everything server-side) Security Audit of existing site

How many pages do you need?

Do you have existing content (copy, photos, logo)?

Yes — I have everything ready Some — partially ready Need copywriting help Need everything written

Budget range *

Desired timeline

Describe your goal in 2-3 sentences. What does success look like?

Design Preferences

Preferred visual style

Dark + modern (like W-Logic) Clean + light / professional Bold + colorful / energetic No preference — your call

Brand colors (hex codes or describe)

3 competitor or inspiration websites you like

What do you NOT want? (styles, elements, colors to avoid)

Do you have a logo?

Yes — will provide file No — need one designed No — text-based is fine Have one but want update

Technical Details

Do you have a domain name?

Yes — already registered No — need to register one Not sure what I have

Domain name (if known)

Where is your domain registered?

Current hosting (if any)

Do you have a Google Business Profile?

Yes — set up and claimed Partially set up No — need one Not sure

Current Google review count (check Maps)

Do you have a customer email list?

Yes — 500+ contacts Yes — under 500 No list yet Partial / in our CRM/POS

Anything else we should know?

Review & Submit

Digital Signature (type your full name) *

By submitting this form, you confirm the information above is accurate and authorize W-Logic LLC to proceed with scoping and proposal based on these requirements.