10 Day Website Intake Form | Steck Insights Web Design

Ready to get started? We just need a little bit of information from you and we’ll get the ball rolling!

10 Day Website; Our Fast Track to Your Success

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Your Name(Required)

First Last

Company Name(Required)

Website

Domain Name Regsitrar (Ex: GoDaddy.com)

Registrar Username

Password

Hide Your Address on Website

Yes

Your Address

Street Address Address Line 2 City ZIP Code

Describe Your Ideal Customer

What are 3 problems your customer typically faces?

What are 1-3 services/products you offer

What are 3 desires your customer has?

What is the one step your want your customer to take when they get to your website?

What is your solution to their problem?

What makes you different from your competition?

Who are your key competitors?

Do you have any certifications, partnering companies, or customers you've worked with that we can list on the website to build trust?

Do you offer a guarantee, promise or expectations that your customer can count on?

Do you have any testimonials we can use?

Do you want to list monthly pricing, monthly subscription or products to feature?

How Can We Reach You?

We would love to chat with you. How can we get in touch?

Preferred Method of Communication?

Your Email Address

Email Address Confirm Email Address

Your Phone(Required)

Best Time to Call You

Key Concerns and Additional Information

Please let us know what's on your mind. Have a question for us? Ask away.

Your Comments/Questions