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Intake form
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Name
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Email address
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What services are you interested in?
Please select at least one option.
Website Development
Web Applications
UI/UX Design
Maintenance & Support
What is your budget range?
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Under $1,000
$1,000 - $5,000
$5,000 - $10,000
Over $10,000
What is your project timeline?
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Less than 1 month
1 - 3 months
3 - 6 months
More than 6 months
What is your primary goal for this project?
Who is your target audience?
Have you worked with an IT company before?
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Yes
No
What features do you want in your website or application?
How did you hear about us?
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Social Media
Search Engine
Referral
Additional questions or comments
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