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Midpoint Survey

Congratulations on making progress with your Business Builder Subaward project. This report serves as a means to understand how your project is going, how this subaward has improved your business, and the impact it has on your community. Please plan for this survey to take approximately 45 minutes.

This survey must be completed and receipts must be submitted to Stephanie Barney, sbarney@regionfive.org before your second reimbursement payment can be processed. If you have any complications with the survey itself, please reach out to Candice Zimmermann, czimmermann@regionfive.org.

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* 1. Name of your business or organization

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* 2. Name of person filling out this survey report:

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* 3. What state is your business or organization located?

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* 4. Please indicate the county you are located in:

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* 5. Please list the zipcodes your business or organization serves:

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* 6. Please indicate your organization/business' legal type:

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* 7. Please enter the total amount you were awarded through Round 1 of the Business Builder Subaward:

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* 8. Please indicate your PRIMARY business or organization type:

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* 9. Is your organization/business led or owned by people who identify as any of the following? (check all apply)

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* 10. Please indicate how you have used your funds so far:

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* 11. How would you categorize the kind of agricultural product you work with PRIMARILY (more than 50% of revenue)?

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* 12. Would you define yourself as a new, established, or expanding organization/business?

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* 13. Did this award increase the square footage of space designated to processing, distribution, storage, or aggregation of regional products? If yes, please indicate how many square feet.

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* 14. To date, have you been able to secure any additional resources (federal, non-federal, professional, and/or technical assistance) because of the Business Builder Award activities? If yes, please describe source, purpose, and amount of funding.

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* 15. Has this award resulted in the creation of any new jobs?

If yes, please specify the total number of new jobs (in Full Time Equivalents) and the salaries and benefits provided to those positions.

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* 16. If you received assistance to apply for the Business Builder Award, how would you rate the value of the technical assistance you received?

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* 17. Did you receive any referrals to other organizations or USDA offices throughout the process of receiving technical assistance or this business builder award?

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* 18. In the process of applying for, or receiving this award, did you gain knowledge about any of the following? (Please select all that apply)

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* 19. Did this award allow you to expand your business operations?

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* 20. To date, have you formed new partnerships or collaborations with other food businesses or organizations in the region through your involvement in this project? If yes, how have these collaborations benefited your business?

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* 21. To date, has this award allowed your business/organization to expand into any of the following market channels for the first time?

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* 22. Tell us about your biggest accomplishment so far with your Business Builder Subaward project:

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* 23. What activities/impacts do you hope to accomplish in the next six months?

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* 24. Please upload any links to articles, social media posts, or other media that you would like to share with us to help promote your story.

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* 25. Do you feel confident in completing your project within the timeline outlined in your subaward agreement?

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* 26. Do you have any other questions or concerns you would like to address?

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* 27. Overall, how easy was it for you to complete this survey?

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* 28. Please upload all receipts for any expenses this award has paid for. Proof of expenses will ensure a quick turnaround for your reimbursement payment. Only PDF, DOC, DOCX, PNG, JPG, JPEG, GIF files are supported.

Alternatively, if you have any issues uploading to this platform, you can email receipts to sbarney@regionfive.org.

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