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* 1. Where do you currently live?

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* 2. Do you identify as being part of an underrepresented group?

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* 3. Tell us about yourself! What is your professional background?

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* 4. Tell us about the status of your future or existing business! Is it in:

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* 5. What areas of business would you love to see more assistance/programming in?  Choose all that apply.

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* 6. Where have you gone for entrepreneurial support in the past?

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* 7. What obstacles do you think you face when starting a business?  Choose all that apply.

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* 8. Generally, when are you available to attend free workshop training?

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* 9. What type of future programming would you like to have access to?

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* 10. Would you be interested in a free assessment to chat through how we can help you advance your business?

If the answer is “Yes”, please provide your contact information in question #11.

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* 11. Please provide your contact information here.

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* 12. If you would like to be on our mailing list for future programs, events and resources available to Women Entrepreneurs in Southern Alberta, please provide your contact information.

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* 13. Would like to be contacted to discuss how we can help with your business plans.

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