24:1 Small Business Survey

Question Title

* 1. Please provide:

Your Name:

Your Business Name:

Your Email:

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* 2. What type of industry does your business belong to? – Please select one

Healthcare (including home health services)

Education/Daycare

Auto Sales, Service, or Repair

Food/Restaurant/Catering

Home Service Industry (Plumbing, Lawns, Heating and Cooling, etc.)

Personal Services (Hair, Nails, Barber Shop, etc.)

Professional Service Industry (Tax Preparation, Accounting, Legal, etc.)

Retail Goods Sales (Clothing, Shoes, Hardware, Electronics, etc.)

Wholesaling Business

Other (please specify)

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* 3. How long have you been in business? - Please select one

Less than 1 year

1 – 3 years

3 – 5 years

5 – 10 years

10+ years

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* 4. Are you a non-profit or for profit business? - Please select one

Non-profit

For profit

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* 5. Where is your business operated? - Please select one

In your home

Physical store-front location

Office building

Shared or Co-Work Space

Other (please specify)

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* 6. How many employees do you have, not including yourself? - Please select one

None

1 – 5

5 – 10

10 – 25

25 – 50

50+

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* 7. What type of challenges is your business facing? - Select all that apply

Legal Paperwork (Permits, Certifications, Registrations)

Marketing and Promoting

Using or Dealing with Technological

Business Planning

Bookkeeping

Financing

Other (please specify)

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* 8. Additional comments/specifics about those issues:

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* 9. Would information on or assistance with any of the following topics help your business? - Select all that apply.

Employee safety measures

Façade or building improvements

Grant writing

Business Credit

Micro-loans

Other (please specify)

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* 10. What would be a helpful setting to address the challenges that you are facing? - Select all that apply.

Speaker seminar

Hands-on workshop

Open discussions or networking opportunities with other business owners

Direct connection to business resources

Other suggestions

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* 11. What are your strengths as a business owner or entrepreneur?

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* 12. Are you interested in becoming a Minority Business Enterprise (MBE) or Women’s Business Enterprise (WBE)? (Please click here to learn more about the benefits of that business designation.) – Please select one.

Interested

Neutral

Not Interested

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* 13. Would you be interested in attending a Small Business Networking Launch Event featuring food, music, and networking opportunities in November 2019? – Please select one.

Interested

Neutral

Not Interested

24:1 Small Business Survey

Question Title

* 1. Please provide:

Question Title

* 2. What type of industry does your business belong to? – Please select one

Question Title

* 3. How long have you been in business? - Please select one

Question Title

* 4. Are you a non-profit or for profit business? - Please select one

Question Title

* 5. Where is your business operated? - Please select one

Question Title

* 6. How many employees do you have, not including yourself? - Please select one

Question Title

* 7. What type of challenges is your business facing? - Select all that apply

Question Title

* 8. Additional comments/specifics about those issues:

Question Title

* 9. Would information on or assistance with any of the following topics help your business? - Select all that apply.

Question Title

* 10. What would be a helpful setting to address the challenges that you are facing? - Select all that apply.

Question Title

* 11. What are your strengths as a business owner or entrepreneur?

Question Title

* 12. Are you interested in becoming a Minority Business Enterprise (MBE) or Women’s Business Enterprise (WBE)? (Please click here to learn more about the benefits of that business designation.) – Please select one.

Question Title

* 13. Would you be interested in attending a Small Business Networking Launch Event featuring food, music, and networking opportunities in November 2019? – Please select one.

Question Title

* 14. Are there additional questions, services, or resources that you could support your existing small business or to help you open a small business?