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Jobs/Leaderboard Survey
1. Default Section
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1
. Please provide your Contact Information:
Please provide your Contact Information:
Name:
Company:
State:
-- select state --
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
Email Address:
Phone Number:
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2
. Do you think hiring can increase revenue?
Do you think hiring can increase revenue?
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3
. What role do Women Business Owners (WBOs) play in job creation?
What role do Women Business Owners (WBOs) play in job creation?
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4
. How many employees do you have year to date? (If none, please enter 0 where applicable) Don’t forget to include paid interns!
How many employees do you have year to date? (If none, please enter 0 where applicable) Don’t forget to include paid interns!
Full Time
Part Time
1099/Contractor/Freelancer
Interns
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5
. How mamy employees did you have at the end of 2008?
How mamy employees did you have at the end of 2008?
Full Time
Part Time
1099/Contractor/Freelance
Interns
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6
. How many employees did you have at the end of 2007?
How many employees did you have at the end of 2007?
Full Time
Part Time
1099/Contractor/Freelancer
Interns
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7
. What types of roles have you filled this year? Check all that apply.
What types of roles have you filled this year? Check all that apply.
Executive
Middle Management
Sales person
Administrative: includes assistance and interns
Technical
No new hires
Contractors
Other (please specify)
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8
. How many people are you planning to hire this year? If none, please enter 0.
How many people are you planning to hire this year? If none, please enter 0.
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9
. What roles are you planning to fill? Number in order of priority.
What roles are you planning to fill? Number in order of priority.
Executive
Middle Management
Sales
Administrative (including assistants and interns)
Technical
Technology
No new hires
Contractors/Freelancers/Consultants
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10
. Which of your family members works on the business with you? Check all that apply.
Which of your family members works on the business with you? Check all that apply.
Parent/Grandparent
Sibling
Children
Aunt/Uncle
Spouse/Partner
None
Other (please specify)
11
. In what capacity does your family member work on the business? Check all that apply.
In what capacity does your family member work on the business? Check all that apply.
Business Partner
Financial
General Administrative
Sales
Technical/Operations
Technology
Strategic Planning
Other (please specify)
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12
. You've just met an investor who believes in you and your business. He/She is willing to help you hire someone and pay them at whatever cost with no strings attached.
Off the top of your head, what position(s) would you fill immediately to grow your business to the next level?
You've just met an investor who believes in you and your business. He/She is willing to help you hire someone and pay them at whatever cost with no strings attached. Off the top of your head, what position(s) would you fill immediately to grow your business to the next level?
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13
. When you think of hiring a new employee, how do you feel? Please choose the emotion that you feel the strongest.
When you think of hiring a new employee, how do you feel? Please choose the emotion that you feel the strongest.
Doubtful
Stressed
Relieved
Overwhelmed
Accomplished/Proud
Nervous/Afraid
Other (please specify)
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14
. Why do you feel as you indicated in Question 11?
Why do you feel as you indicated in Question 11?
I wish I had the money to hire someone./I can barely make payroll now! I can't even think of hiring another person./A new employee is another expense, not an opportunity to grow my business.
We just hired someone! I can now focus on growing my business.
I know I need some help, but I don't even know where to begin.
I'm helping another individual put food on the table and provide for their family.
I'm afraid to take on the financial risk and accountability of hiring a new person.
Idon't think anyone can do as good of a job as me.
I have had bad experiences with new hires and I don't have the resources to go throuhg it again.
Other (please specify)
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15
. Have you entered your employee numbers into your "M3 Financial Dashboard"?
Have you entered your employee numbers into your "M3 Financial Dashboard"?
Yes
No
16
. If no, why not?
If no, why not?
I didn't know it would be beneficial
I don't have access to the M3 Financial Dashboard/I don't know where the Dashboard is located/I can't find where or figure out how to enter my job statistics.
I'm embarrassed by my job numbers
I know where to enter the information, but I just don't have the tine to do so
I don't understand why I should enter in such information or how it will help me.
Other (please specify)
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17
. How can Count Me In help you create jobs so that you can focus ON growing your business? Choose what you deem to be the most helpful to you. Number in order of priority.
How can Count Me In help you create jobs so that you can focus ON growing your business? Choose what you deem to be the most helpful to you. Number in order of priority.
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