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Survey Interview for Financing Seekers

1. Information about you and your company

This information allows us to assess the context in which you and your business operate and finance.

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* 1. Which best describes your industry?

Construction

Manufacturing

Wholesale Trade

Retail Trade

Transportation and Warehousing

Finance and Insurance

Accommodation and Food Services

Other (please explain)

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* 2. Where are you located or headquartered?

City/Town:

State:

ZIP:

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* 3. How long (years) has your company been in business?

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* 4. What is your company's approximate level of revenue?

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* 5. Is your company cash flow positive?

YES

NO

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* 6. What is your title in the company?

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* 7. Are you the owner?

YES

NO