## Website Design Request

Please use this form for new website and website redesign projects. Based on your requirements, I’ll get in touch with the next steps.

### Form Fields

- **Your Name**  
  This field is required.

- **Your Email Address**  
  This field is required.

- **Phone Number**  
  United States +1
  +1
  
- **Company or Project Name**  
  This field is required.

- **Current Website URL**  
  This field is required.

- **What best describes your project?**  
  Select an option:  
  - Brand new website  
  - Redesign of existing site  
  - Major overhaul or repositioning  
  - Other / Not sure  
  
- **What is the primary goal of this website?**  
  Select an option:  
  - Generate leads  
  - Showcase work / credibility  
  - Sell a product or service  
  - Explain what we do more clearly  
  - Other / Not sure  
  
- **Roughly how big is the site?**  
  Select an option:  
  - 1–10 pages  
  - 10–20 pages  
  - 20–30 pages  
  - 30+ pages  
  - Not sure yet  
  
- **Your ideal timeline:**  
  Select an option:  
  - 1–4 weeks  
  - 2–3 months  
  - 3–6 months  
  - Flexible  
  
- **Budget range you’re comfortable investing:**  
  Select an option:  
  - Under $2,500  
  - $2,500–$5,000  
  - $5,000–$10,000  
  - $10,000–$20,000  
  - $20,000+  
  - Not sure yet  
  
- **Who will be involved in approving this project?**  
  Select an option:  
  - Just me  
  - Me and a partner  
  - Team or company decision  
  
- **Briefly describe your business and what you’re trying to achieve:**  
  This field is required.

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