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👤 Repair Babe :
Client Info
First Name
*
This field is required.
Last Name
*
This field is required.
Email
*
This field is required.
Phone Number
*
This field is required.
Business Name
This field is required.
Business Type
This field is required.
🌐
Project Details
Which Package Suits You Best?
Select an option
One-Page Site
Three-Page Site
Ecommerce Site
Not Sure Yet
Current Website or Domain
Select an option
No (I need help)
Yes (enter it below)
Current Website or Domain
This field is required.
Do you have hosting set up?
*
Select an option
No (need help)
Yes (enter provider below)
This field is required.
Host Provider’s Name:
This field is required.
🎯
Business Goals & Vision
Describe your business:
This field is required.
What’s the main goal of your website?
Select an option
Get leads
Sell products
Show portfolio
Book appointments
Other
🎨
Design Preferences
Do you already have a logo and branding?
Select an option
Yes (send to us)
No (need help)
What are your brand colors or preferences?
This field is required.
Are there any websites you love the look of? (drop 1–3 links)
This field is required.
Any websites you dislike? (and why?)
This field is required.
📸
Content Collection
Do you have your website content ready?
Select an option
Yes, I’ll upload it / email
No, I need help with copywriting
Do you need
stock images?
Select an option
Yes, please find them for me
No, I’ll upload my own
🛍️
E-Commerce Details
(if applicable)
How many
products will you be selling?
This field is required.
Will you need help with product setup?
This field is required.
Preferred payment method?
(Stripe, PayPal, etc.)
This field is required.
⚙️
Features & Functionality
What features do you need?
Choose as many as you’d like
Select an option
Contact form
Booking calendar
Blog
Photo gallery
Testimonials section
Newsletter signup
Social media links
Other (please specify)
🛡️
Website Hosting & Maintenance
Would you like to add monthly website maintenance ($49/month)?
Your websites address
Select an option
Yes, I'll need help
No, not now
Would you like to add monthly hosting services ($19/month)?
Where your files and website lives
Select an option
Yes, I'll need help
No, not now
Do you need:
Select an option
Branding Kit (colors, fonts, logo guidance)
Copywriting support
SEO Setup
Other (list any extras)
📅
Timeline & Launch Goals
When would you like your website to be completed?
This field is required.
Are there any deadlines or launch dates we should know about?
This field is required.
✅
Final Notes
Anything else you want to share with us?
This field is required.
💻 Submit
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