DERE
DIGITAL
Client Intake
Step 1 of 7
Tell Us About Your Business
Let's start with the basics.
Business Name
*
Your Name
*
Email
*
Phone
*
Industry / What Do You Do?
*
City, State
*
Service Area
How Long Have You Been in Business?
What Makes You Different From Competitors?
Business Goals for the Next Year
Step 2 of 7
Your Current Online Presence
Help us understand where you are today.
Current Website URL
Facebook Page URL
Instagram URL
Do You Have a Google Business Profile?
Yes
No
Not sure
Other Social Media or Directory Listings
Are You Currently Running Any Ads?
Yes
No
Monthly Ad Budget Range
Select...
Not sure yet
Under $500/mo
$500 - $1,000/mo
$1,000 - $2,500/mo
$2,500+/mo
What's Worked in the Past? What Hasn't?
Step 3 of 7
Branding & Style
Tell us how you want your business to look and feel.
Do You Have a Logo?
Yes
No — create one for me
Upload Your Logo
📁
Click to upload (PNG, JPG, SVG)
Happy With Your Current Logo?
Love it — keep it
Could use a refresh
Want something completely new
Brand Colors
Name specific colors or say "pick for me" and we'll choose based on your industry.
What Vibe Fits Your Business? (Pick up to 3)
Modern
Traditional
Minimalist
Bold
Luxury
Friendly
Corporate
Playful
Rugged
Elegant
Techy
Warm
Websites You Admire (any industry)
Websites You Dislike
Step 4 of 7
Website Needs
What should your website include?
Starting Fresh or Redesigning?
Starting fresh — no current website
Redesigning my existing site
What Pages Do You Need?
Home
About Us
Services
Contact
Blog
Gallery / Portfolio
Testimonials
FAQ
Online Booking
E-commerce / Shop
Quote / Estimate Form
Client Portal
Must-Have Features
Contact Form
Live Chat
Google Maps
Reviews Widget
Social Media Feed
Email Signup
Video Backgrounds
Other
Do You Have Your Own Photos/Videos?
I have my own
Create everything for me
Mix of both
Do You Have a Domain Name?
Step 5 of 7
Your Services
Tell us what you offer so we can showcase it.
List Your Services / Products
*
Top 3 Money-Makers
Show Pricing on Your Website?
Yes — show exact prices
Show price ranges
"Call for quote"
Not sure
Who Is Your Target Customer?
Certifications, Licenses, Awards
Testimonials You Already Have
Step 6 of 7
Marketing Goals
Help us understand what success looks like for you.
What's Your #1 Goal?
*
More phone calls
More form submissions / leads
More foot traffic
More online sales
Brand awareness
All of the above
Any Promotions or Offers You Run?
Busy Season vs Slow Season
How Do You Currently Get Most Customers?
Anything You Absolutely DO NOT Want?
Step 7 of 7
Final Details
Almost done — just a few more things.
When Do You Want to Launch?
ASAP
Within 2 weeks
Within a month
No rush
How Involved Do You Want to Be?
Very hands-on — approve everything
Somewhat — major decisions only
Just make it happen — I trust you
Best Way to Reach You
Email
Text
Phone call
How Often Do You Want Updates?
Daily
Weekly
Only at milestones
Anything Else We Should Know?
← Back
Next →
🎉
You're All Set!
We've received your information and we're excited to get started. We'll be in touch within 24 hours.
← Back to Home