Community Needs Assessment Survey

The Missouri Women's Business Center

Please take a few minutes to complete this short survey. We appreciate your input regarding resources needed in our community to help small businesses thrive.

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* 1. What is your gender?

Female

Male

Prefer Not to Answer

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* 2. Please check all the categories that best describe you:

Business Owner

Entrepreneurship Enthusiast

Aspiring Entrepreneur

Banking or Business Services

Community Volunteer

Other (please specify)

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* 3. What services do you think the MoWBC should offer?

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* 4. Which of the services you identified are you personally interested in?

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* 5. Are you interested in being involved in the MoWBC as a volunteer? If yes, how would you like to contribute?

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* 6. Can we contact you? If yes, please fill out your name, address, phone number and email address.

Name:

Address:

Phone Number:

Email Address:

THANK YOU!

The Missouri Women's Business Center is a program of Central Missouri Community Action, funded in part through a Cooperative Agreement with the U.S. Small Business Administration.