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Business Needs Assessment
Getting Started
1.
Your Name
2.
Title
3.
Email
4.
Phone
About the Company
*
5.
Company Name
(Required.)
*
6.
Street Address
(Required.)
*
7.
City
(Required.)
*
8.
Zip
(Required.)
*
9.
County
(Required.)
*
10.
Is this your headquarters?
(Required.)
Yes
No
11.
If not, where is your company's headquarters?
12.
Website
13.
Years Established
*
14.
Please Identify
(Required.)
Minority Owned
Woman Owned
Veteran Owned
Other (please specify)
None of the above
*
15.
Business Type?
(Required.)
Manufacturing
Retail
Restaurant
Health Care and Wellness
Hospitality and Tourism
Nonprofit
Construction and Trades
Professional Services
Finance and Insurance
Education
IT
Logistics
Transportation
Agriculture and Food Production
Energy and Utilities
Arts and Media
Other (please specify)
25%
