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Blank Form (#3)
Section 1: Business Basics
Section 2: Domain & Access
Section 3: Branding
Section 4: Content — About & Voice
Section 5: Services & Pricing
Section 6: Photos & Media
Section 7: Booking & Contact
Section 8: Social & Reviews
Section 9: Pages & Structure
Section 10: Launch & Legal
Legal Business Name
Business/display name (as it should appear on the website)
Primary contact name
Primary contact email
Phone/Mobile
Best way to reach you during the build
– Select –
Email
Call
Text
Do you have multiple locations?
Yes
No
Multiple Locations
Multiple Location
Do you have an existing website? If so, URL
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Do you already own a domain name?
Yes
No
If yes, what is it?
If no, what domain would you like? (we’ll check availability)
Who is your domain registered through (GoDaddy, Namecheap, etc.)?
Do you have login access to your domain registrar?
Yes
No
Do you have a Google Business Profile?
Yes
No
Google Business Profile link
Do you have Google Analytics / Search Console set up?
Yes
No
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Do you have a logo file?
Choose File
If no logo, would you like help designing one?
Yes
No
Primary brand color(s)
Secondary/accent color(s)
Do you have brand fonts you use?
Which template would you like as your starting design?
– Select –
PureGlow
Natura
Serenity
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Tell us about your practice (history, mission, what makes you different)
Preferred tone
Luxurious & Calm
Clinical & Trustworthy
Fun & Approachable
Owner/provider bio(s)
Owner/provider bio(s)
Tagline or slogan (if you have one)
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List of services/treatments to feature
Service Name
Description
Price
Do you want prices listed publicly on the site?
Yes
No
Any services you want to highlight/feature first?
Any current promotions or specials to include?
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Will you be providing your own photos?
Yes
No
Upload your photos (interior, staff, treatments, results)
Choose Files
Do you have before/after photos you’re comfortable using?
Yes
No
Upload Before and After Images
Choose File
Do you have a video you’d like embedded (e.g., YouTube link)?
Do you need stock photos sourced for anything missing?
Yes
No
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Do you use an online booking system?
Yes
No
Which one?
– Select –
Vagaro
Mindbody
Boulevard
GHL
Other
Booking system link/embed code
Preferred call-to-action wording (e.g., “Book Now,” “Schedule a Consultation”)
Should the phone number be clickable-to-call?
Yes
No
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Facebook page URL
Instagram URL
Other social profiles (TikTok, YouTube, etc.)
(TikTok, YouTube, etc.)
Do you want a reviews/testimonials section?
Yes
No
Paste 2–3 testimonials you’d like featured
Link to your Google Reviews
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Confirm your 5 pages
Status
About
Home
Services
Results/Gallery
Contact
Any additional pages needed beyond 5? (may incur added cost)
Do you need a Privacy Policy / HIPAA notice page?
Yes
No
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Preferred launch/go-live date
Anything else we should know before we start building?
Agreement to terms (18-month contract, $150/mo, cancellation terms)
Date signed
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