This template can be used as is, for better understanding your client's needs.
Can also be edited and redesigned to fit your own brand (Global Colors, Fonts and images).
Simply clone the project and send the url to your client to fill out. You will receive and Email with all the information extracted and summed up. I use this as a template which I edit and fit to each client, right after our first meeting. This makes the preparation for the 2nd meeting, which is usually the start of the prototyping process.
Whenever possible, use Class Names to target the elements in your interaction. You never know when you'll need to duplicate and use it somewhere else...