# Client intake

- Link: https://five-bricks.com/client-intake/
- Published: 2026-03-30T22:38:15+00:00
- Author: 5B\_DEV

[⌊five-bricks⌉](https://five-bricks.com/)

New Client Form

# Let's learn about _your business_

Fill this out before our call. It takes about 5 minutes and helps us come prepared
with real ideas — not generic questions.

01 — Your business

 Business name *

Required

 Your name *

Required

 Email *

Enter a valid email

 Phone optional

 City / Location *

Required

 Industry *

Required

02 — What you offer

 What does your business do? * Keep it simple

Required

 List your main services or products *

Required

 What sets you apart from competitors? optional

03 — Your team

 Team members to feature on the website name + role

 Total staff count approx

04 — Where you stand online

 Current website if you have one

 How would you rate your current online presence?

   We have no real online presence yet    We have something but it is outdated or
underperforming    It is decent but we want to grow    We are doing well and want
to take it to the next level

05 — What you need

 Which services are you interested in? select all that apply

  New website   Website redesign   Local SEO   Google Business Profile   Social 
media management   SaaS / app development   PR and earned media   Not sure yet

 What is the main goal you want to achieve? *

  Get more leads or bookings   Show up on Google and Maps   Look more credible and
professional   Launch a new product or business   Scale an existing digital product

Please select at least one

06 — Timing

 How soon do you want to start?

 Approximate monthly budget

07 — Anything else

 Any other details, links, or context we should know? optional

We will review your answers before our call and come prepared with specific ideas
for your business.

✓

## Got it, thank you.

We have received your information and will review it before your call.
Expect to
hear from the Five Bricks team shortly.