[md-form]
[md-text label="First Name"]

[/md-text]

[md-text label="Last Name"]

[/md-text]

[md-text label="Email address"]

[/md-text]

[md-text label="Website URL"]

[/md-text]

[md-radio label="Do you want me to arrange hosting? (Delete where applicable)"]
No, I’ll arrange hostingYes, I’d like you to host the website for me
[/md-radio]

[md-textarea label="Do you currently have a logo or corporate colors? Do you have any content at the moment?"]

[/md-textarea]

[md-checkbox label="What is the website’s main purpose? (Check/tick where applicable)"]
to sell productsto promote servicesto collect email addressesto build a brand / communityother
[/md-checkbox]

[md-checkbox label="What is the desired outcome from a visitor arriving at the website? (Check/tick where applicable)"]
to leave an email addressto make a purchaseto contact youto fill out a form
[/md-checkbox]

[md-checkbox label="Do you want any of the following? (There is space at the end of the form for other requirements). (Check/tick where applicable)"]
BlogSocial sharing iconsContact formEmail signup form / ability to collect email addressesAbility to sell digital productsAbility to sell physical productsother
[/md-checkbox]

[md-checkbox label="Select from below to characterise your website’s brand: (Check/tick where applicable)"]

[/md-checkbox]

[md-textarea label="Who is the website’s target audience?"]

[/md-textarea]

[md-checkbox label="How many pages will the website have roughly?"]
1-1010-100100+
[/md-checkbox]

[md-checkbox label="What is your budget?"]
$1000+$2000+$3500+$5000+$10000+
[/md-checkbox]

[md-text label="Ideally, when would you like the website completed?"]

[/md-text]

[md-textarea label="Two or three websites you admire or would like to emulate:"]

[/md-textarea]

[md-textarea label="Further comments:"]

[/md-textarea]

[md-submit]

[/md-submit]

[/md-form]