There are three ways to create a new database in Domino: using a template, copying an existing database, or starting from scratch in Domino Designer. When starting from scratch in Domino Designer, the user creates a blank database with no pre-existing design elements and must build out the application by adding pages, forms, fields, and other elements. Database properties like the launch options and encryption can be configured. Forms and pages are used to display information to users and can include various elements like text, graphics, tables, and more. Fields are used to collect and store user-entered data on forms.