Thank you for participating in this survey of Leesburg businesses, which is a joint effort of the Leesburg Diversity Commission and the Leesburg Economic Development Commission. Participation in this survey is strictly voluntary and all responses are confidential.

Information gathered in this survey will be used to develop business outreach and assistance programs. Information will not be shared with other organizations or used in regulatory, tax collection or other enforcement efforts.

* 1. Contact Information

* 2. What is your role with this business?

* 3. Is this a home-based business?

* 4. How long has the business been located in the Town of Leesburg?

* 5. Is the business classified as a Woman-owned, Minority-owned or Service Disabled Veteran-owned small business?

* 6. Who are your business's primary customers?

* 7. What are the barriers, if any, to growing your business in the Town of Leesburg?

* 8. What can the Town of Leesburg do to help your business succeed and/or grow?

* 9. What percentage of your employees are Town of Leesburg residents?

* 10. Where do you advertise job openings?

* 11. Would you attend a business forum to receive and contribute information about doing business in the Town of Leesburg?

* 12. What topics would encourage you to attend such a forum?

* 13. Name three things the Town of Leesburg can do to improve the success of local businesses.

* 14. If you are the business owner, would you be willing to share your race and/ethnicity? All answers are confidential and will not be shared with other organizations.

* 15. Would you like for someone from the Leesburg Economic Development Office to contact you about providing assistance to your business?

Thank you for taking the time to complete this survey. If you have questions about the survey, the results, or how the information gathered will be used, please contact the Leesburg Economic Development Office at 703-771-6530.