Lead Capture Form

Name
Email Address
Phone Number (optional)
What does your company do? What are the products and services you offer? (optional)
What budget have you allocated for this project? Be honest and I will tell you what we can and can't do. (optional)
Current Website (if applicable) (optional)
Is there anything about your current site that serves the business well and if so, why? (optional)
Is there anything about your current site that doesn't serve the business well and if so, why? (optional)
Tell us about your ideal customer. Who are they? How old are they? What gender are they? Where do they hang out online? What are their interests? (optional)
What are the top 5 reasons your ideal customer will visit your website? (optional)
Tell me a bit about the design elements you already have in place. Please tick all that are relevant. (optional)
How do you want people to feel when they interact with your brand? Safe and secure, edgy and excited, exclusive and cool, like they belong? (optional)
Do your competitors have websites? If so, list them here so we can make sure yours is better :) (optional)
Tell us about your competitors. Who else is competing for the attention of your ideal customer and what are they doing that you think is working? (optional)
Are the any other websites in particular that you like the design of? Why? (optional)
Anything else you want to add? (optional)

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