Name
              
                * 
              
             
          
                
                
                  
                     
                    First Name 
                   
                
                
                  
                     
                    Last Name 
                   
                
               
            
            
            
            
            
            
        
          
          
            
            
            
            
            
              
                
            
              Email
              
                * 
              
             
          
                
                 
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Phone
              
             
          
                
                
                
                  
                     
                    (###) 
                   
                
                
                  
                     
                    ### 
                   
                
                
                  
                     
                    #### 
                   
                
               
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              How did you hear about Emme Luxe?
              
             
          
                
                
                
                  
                    Friend/Family Referral 
                  
                    Social Media 
                  
                    Website 
                  
                    Etsy 
                  
                    Search Engine (Google, Bing, etc.) 
                  
                   
                 
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
              
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Do you already own a domain?
              
             
          
                
                
                  Yes
                
                  No
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              Describe your business: 
              
             
          
                
                
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              What geographic areas do you serve?
              
             
          
                
                
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              What sets your business apart from competitors?
              
             
          
                
                
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              Do you have a tagline or slogan?
              
             
          
                
                
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              What are the primary goals of your website? 
              
             
          
                (e.g., Lead generation, Online sales, Information hub, Appointment booking, Portfolio display, Blog)
                
               
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Which pages would you like on your website? 
              
             
          
                (e.g., Home, About, Services/Products, Contact, Blog, Testimonials, FAQ, Portfolio, Shop)
                
                  About
                
                  Services
                
                  Services/Products
                
                  Blog
                
                  Testimonials
                
                  FAQs
                
                  Portfolio
                
                  Shop
                
                  Other (please list below)
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
              
                
            
              Other Pages
              
             
          
                
                 
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              Any third-party integrations required? 
              
             
          
                 (e.g., CRM, Payment Gateways, Calendly, Social Media Feeds)
                
               
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              Do you have a specific design style in mind? 
              
             
          
                (Modern, Minimalist, Luxury, Traditional)
                
               
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              Preferred color scheme:
              
             
          
                
                
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              Preferred fonts or typography style:
              
             
          
                
                
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              Websites you admire and why: 
              
             
          
                (Provide links if possible)
                
               
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Do you have a logo and brand assets? 
              
                * 
              
             
          
                
                
                  Yes
                
                  No
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Would you like customers to be able to book appointments or services online?
              
             
          
                
                
                  Yes
                
                  No
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Do you need e-commerce functionality?
              
             
          
                
                
                  Yes
                
                  No
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Would you like to include videos or multimedia galleries?
              
             
          
                
                
                  Yes
                
                  No
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Will you provide written content, or would you like assistance with copywriting?
              
             
          
                
                
                  Provide
                
                  Assistance Needed
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Do you have existing testimonials or case studies to feature? 
              
             
          
                
                
                  Yes
                
                  No
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Would you like a blog or news section?
              
             
          
                
                
                  Yes
                
                  No
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Do you need a contact form? 
              
             
          
                
                
                  Yes
                
                  No
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Do you need a newsletter signup form? 
              
             
          
                
                
                  Yes
                
                  No
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Do you have any SEO or marketing plans? 
              
             
          
                
                
                  Yes
                
                  No
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Do you need Google Analytics or other tracking tools integrated?
              
             
          
                
                
                  Yes
                
                  No
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              What is your desired launch date?
              
             
          
                
                
                  Less than 2 weeks
                
                  Two - Four Weeks
                
                  Four - Six Weeks
                
                  Two - Six Months
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              What is your budget range for this project?
              
             
          
                
                
                  $500-1000
                
                  $1000-2000
                
                  $2000-5000
                
                  $5000+
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              Are there any additional features you are considering?
              
             
          
                
                
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              Please provide any other information that would help me design the best website for your business.