Intake Form | Podius Group

Contact Information

Name *

First

Last

Email *

Phone

Communcation preference/s?

In-person meetings
Email
Phone Call
Whatsapp
SMS

(Leave blank if same as phone)

About Your Business

What services / products do you provide? What problem do you solve?

Do you have a physical location?

Yes - Just one
Yes - Multiple Locations
No - Online only

List location info here (For Public)

Business Primary Location (For customers to see)

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

This is the address that will be displayed to the public

Primary Business Phone Number (For customers to see)

Primary Email (For customers to see)

e.g support@mybusiness.com

Do you have a website already?

With whom do you currently host your website?

Will the existing website content be used?

Do you have a domain name?

e.g. www.mybusiness.com

Domain name

Enter the domain name here

Registration details

Try to include as much info here (admin login details)

Do you need hosting and email?

Yes - Can you help me set it up?
Yes - I will do it myself
No - I have it already

Existing hosting/Email access details

Business email accounts needed

List all email accounts needed. E.g. support@mybusiness.com, accounts@mybusiness.com, john@mybusiness.com

Will you need any of the following profiles created?

Google MyBusiness / Maps
Apple Maps
Facebook
Instagram
Linkedin Company Directory
Bing Places
Yelp
Chamber of Commerce
Yellow Pages

Luckily, there’s an easy way to improve your local SEO. All you have to do is list your business in online business directories such as Yellow Pages, Google My Business, and more. This is called building citations, and it’s a critical piece of a local marketing strategy.

Design

Do you have a logo or branded materials such as business cards, stationary?

Please upload your current logo here

Click or drag files to this area to upload. You can upload up to 10 files.

(PNG/JPEG, vector file preferred with transparent background)

How should visitors describe your new site?

The importance of first impression is paramount. Examples include; modern, user friendly, bold, corporate, fun, forward thinking, innovative, bright, calming, elegant, clean, minimal, etc.

Who is your target audience?

(Examples: age, industry, gender, income, geographical area, etc)

What kinds of images best reflect your business?

(Examples: business images, product images, industry, nature, etc)

Do you have a colour scheme? If not, what is your colour preference?

Please list your competitors' websites. What do you like and not like about their websites?

Are there any particular websites that you like? Why?

(Examples: page elements like headers, menus, sidebars, colors, typography, photos, etc.)

Do you need E-Commerce / Payment Gateway

Yes
No
Not sure

When do you need to launch the new website?

Within 2 weeks
1 month
3 months
No real deadline

Any other comments/requirements?

Upload any documents/content here (Optional)

Click or drag files to this area to upload. You can upload up to 20 files.