Launch Montgomery 2018 Survey

Thank you for your interest in Launch Montgomery! If you are interested, meet the requirements listed on the website, and are able to commit to the 12-week program, please fill out the application below. Please complete all questions honestly. Thank you!

	1 (strongly disagree)	2	3	4	5 (strongly agree)
1. I have thought about starting a business.	1. I have thought about starting a business. 1 (strongly disagree)	1. I have thought about starting a business. 2	1. I have thought about starting a business. 3	1. I have thought about starting a business. 4	1. I have thought about starting a business. 5 (strongly agree)
2. I would experience more financial success by operating my own business.	2. I would experience more financial success by operating my own business. 1 (strongly disagree)	2. I would experience more financial success by operating my own business. 2	2. I would experience more financial success by operating my own business. 3	2. I would experience more financial success by operating my own business. 4	2. I would experience more financial success by operating my own business. 5 (strongly agree)
3. I feel a great deal of pride when I complete a project successfully.	3. I feel a great deal of pride when I complete a project successfully. 1 (strongly disagree)	3. I feel a great deal of pride when I complete a project successfully. 2	3. I feel a great deal of pride when I complete a project successfully. 3	3. I feel a great deal of pride when I complete a project successfully. 4	3. I feel a great deal of pride when I complete a project successfully. 5 (strongly agree)
4. I enjoy controlling my own work assignments and making all decisions affecting my work.	4. I enjoy controlling my own work assignments and making all decisions affecting my work. 1 (strongly disagree)	4. I enjoy controlling my own work assignments and making all decisions affecting my work. 2	4. I enjoy controlling my own work assignments and making all decisions affecting my work. 3	4. I enjoy controlling my own work assignments and making all decisions affecting my work. 4	4. I enjoy controlling my own work assignments and making all decisions affecting my work. 5 (strongly agree)
5. I believe that I am primarily responsible for my own successes and failures.	5. I believe that I am primarily responsible for my own successes and failures. 1 (strongly disagree)	5. I believe that I am primarily responsible for my own successes and failures. 2	5. I believe that I am primarily responsible for my own successes and failures. 3	5. I believe that I am primarily responsible for my own successes and failures. 4	5. I believe that I am primarily responsible for my own successes and failures. 5 (strongly agree)
6. I have a strong desire to achieve positive results even when it requires a great deal of additional effort.	6. I have a strong desire to achieve positive results even when it requires a great deal of additional effort. 1 (strongly disagree)	6. I have a strong desire to achieve positive results even when it requires a great deal of additional effort. 2	6. I have a strong desire to achieve positive results even when it requires a great deal of additional effort. 3	6. I have a strong desire to achieve positive results even when it requires a great deal of additional effort. 4	6. I have a strong desire to achieve positive results even when it requires a great deal of additional effort. 5 (strongly agree)
7. I have a high energy level that can be maintained over a long time.	7. I have a high energy level that can be maintained over a long time. 1 (strongly disagree)	7. I have a high energy level that can be maintained over a long time. 2	7. I have a high energy level that can be maintained over a long time. 3	7. I have a high energy level that can be maintained over a long time. 4	7. I have a high energy level that can be maintained over a long time. 5 (strongly agree)
8. I believe that my abilities and skills are greater than those of most of my friends and coworkers.	8. I believe that my abilities and skills are greater than those of most of my friends and coworkers. 1 (strongly disagree)	8. I believe that my abilities and skills are greater than those of most of my friends and coworkers. 2	8. I believe that my abilities and skills are greater than those of most of my friends and coworkers. 3	8. I believe that my abilities and skills are greater than those of most of my friends and coworkers. 4	8. I believe that my abilities and skills are greater than those of most of my friends and coworkers. 5 (strongly agree)
9. People trust me and consider me to be honest and reliable.	9. People trust me and consider me to be honest and reliable. 1 (strongly disagree)	9. People trust me and consider me to be honest and reliable. 2	9. People trust me and consider me to be honest and reliable. 3	9. People trust me and consider me to be honest and reliable. 4	9. People trust me and consider me to be honest and reliable. 5 (strongly agree)
10. I can make decisions quickly.	10. I can make decisions quickly. 1 (strongly disagree)	10. I can make decisions quickly. 2	10. I can make decisions quickly. 3	10. I can make decisions quickly. 4	10. I can make decisions quickly. 5 (strongly agree)

1 (strongly disagree)

5 (strongly agree)

1. I have thought about starting a business.

1. I have thought about starting a business. 1 (strongly disagree)

1. I have thought about starting a business. 2

1. I have thought about starting a business. 3

1. I have thought about starting a business. 4

1. I have thought about starting a business. 5 (strongly agree)

2. I would experience more financial success by operating my own business.

2. I would experience more financial success by operating my own business. 1 (strongly disagree)

2. I would experience more financial success by operating my own business. 2

2. I would experience more financial success by operating my own business. 3

2. I would experience more financial success by operating my own business. 4

2. I would experience more financial success by operating my own business. 5 (strongly agree)

3. I feel a great deal of pride when I complete a project successfully.

3. I feel a great deal of pride when I complete a project successfully. 1 (strongly disagree)

3. I feel a great deal of pride when I complete a project successfully. 2

3. I feel a great deal of pride when I complete a project successfully. 3

3. I feel a great deal of pride when I complete a project successfully. 4

3. I feel a great deal of pride when I complete a project successfully. 5 (strongly agree)

4. I enjoy controlling my own work assignments and making all decisions affecting my work.

4. I enjoy controlling my own work assignments and making all decisions affecting my work. 1 (strongly disagree)

4. I enjoy controlling my own work assignments and making all decisions affecting my work. 2

4. I enjoy controlling my own work assignments and making all decisions affecting my work. 3

4. I enjoy controlling my own work assignments and making all decisions affecting my work. 4

4. I enjoy controlling my own work assignments and making all decisions affecting my work. 5 (strongly agree)

5. I believe that I am primarily responsible for my own successes and failures.

5. I believe that I am primarily responsible for my own successes and failures. 1 (strongly disagree)

5. I believe that I am primarily responsible for my own successes and failures. 2

5. I believe that I am primarily responsible for my own successes and failures. 3

5. I believe that I am primarily responsible for my own successes and failures. 4

5. I believe that I am primarily responsible for my own successes and failures. 5 (strongly agree)

6. I have a strong desire to achieve positive results even when it requires a great deal of additional effort.

6. I have a strong desire to achieve positive results even when it requires a great deal of additional effort. 1 (strongly disagree)

6. I have a strong desire to achieve positive results even when it requires a great deal of additional effort. 2

6. I have a strong desire to achieve positive results even when it requires a great deal of additional effort. 3

6. I have a strong desire to achieve positive results even when it requires a great deal of additional effort. 4

6. I have a strong desire to achieve positive results even when it requires a great deal of additional effort. 5 (strongly agree)

7. I have a high energy level that can be maintained over a long time.

7. I have a high energy level that can be maintained over a long time. 1 (strongly disagree)

7. I have a high energy level that can be maintained over a long time. 2

7. I have a high energy level that can be maintained over a long time. 3

7. I have a high energy level that can be maintained over a long time. 4

7. I have a high energy level that can be maintained over a long time. 5 (strongly agree)

8. I believe that my abilities and skills are greater than those of most of my friends and coworkers.

8. I believe that my abilities and skills are greater than those of most of my friends and coworkers. 1 (strongly disagree)

8. I believe that my abilities and skills are greater than those of most of my friends and coworkers. 2

8. I believe that my abilities and skills are greater than those of most of my friends and coworkers. 3

8. I believe that my abilities and skills are greater than those of most of my friends and coworkers. 4

8. I believe that my abilities and skills are greater than those of most of my friends and coworkers. 5 (strongly agree)

9. People trust me and consider me to be honest and reliable.

9. People trust me and consider me to be honest and reliable. 1 (strongly disagree)

9. People trust me and consider me to be honest and reliable. 2

9. People trust me and consider me to be honest and reliable. 3

9. People trust me and consider me to be honest and reliable. 4

9. People trust me and consider me to be honest and reliable. 5 (strongly agree)

10. I can make decisions quickly.

10. I can make decisions quickly. 1 (strongly disagree)

10. I can make decisions quickly. 2

10. I can make decisions quickly. 3

10. I can make decisions quickly. 4

10. I can make decisions quickly. 5 (strongly agree)

	Don't have	Have, but rarely use	Use every so often	Use frequently	Active, use daily
Facebook	Facebook Don't have	Facebook Have, but rarely use	Facebook Use every so often	Facebook Use frequently	Facebook Active, use daily
Snapchat	Snapchat Don't have	Snapchat Have, but rarely use	Snapchat Use every so often	Snapchat Use frequently	Snapchat Active, use daily
Instagram	Instagram Don't have	Instagram Have, but rarely use	Instagram Use every so often	Instagram Use frequently	Instagram Active, use daily
Twitter	Twitter Don't have	Twitter Have, but rarely use	Twitter Use every so often	Twitter Use frequently	Twitter Active, use daily

Don't have

Have, but rarely use

Use every so often

Use frequently

Active, use daily

Facebook

Facebook Don't have

Facebook Have, but rarely use

Facebook Use every so often

Facebook Use frequently

Facebook Active, use daily

Snapchat

Snapchat Don't have

Snapchat Have, but rarely use

Snapchat Use every so often

Snapchat Use frequently

Snapchat Active, use daily

Instagram

Instagram Don't have

Instagram Have, but rarely use

Instagram Use every so often

Instagram Use frequently

Instagram Active, use daily

Twitter

Twitter Don't have

Twitter Have, but rarely use

Twitter Use every so often

Twitter Use frequently

Twitter Active, use daily

Launch Montgomery 2018

Entrepreneur Application

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* 1. First Name

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* 2. Last Name

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* 3. What is your email address?

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* 4. What is your phone number?

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* 5. Are you a resident of Montgomery County, Maryland?

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* 6. How old are you?

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* 7. Please respond to each of the following statements by indicating your level of agreement from 1 (strongly disagree) to 5 (strongly agree).

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* 8. Tell us about your interests and hobbies.

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* 9. Please share your social media platforms and habits.

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* 10. How did you hear about us?