All answers are extremely confidential. Once you submit this form, your questionnaire will be returned to the email you give in this form.
Name of Business Owners and Titles
Anyone else in management or ownership?
Is this company a sole proprietorship, partnership, LLC, corporation or nonprofit?
Other investors or investment company
Date Company started or will start
How long have you been working on your business?
Please define the personal purpose each of the business owner(s) are involved. Write the individual's name followed by a short statement why they started the company and why they want to see it succeed.
What is your business idea that is a must have for customers?
What is the problem solved by your products or services? List your top three products and the problem they solve.
Do you own the domain with .com or .net?
Who are your ideal customers?
List three things you would be ecstatic if you accomplished in the next 30 days?
List two more things you would be ecstatic if you accomplished in the next 90 days?
What skills, educational background, past company experience or revolutionary ideas do the business owner(s) bring to the marketplace?
Anything else you would like us to know to coach you more effectively?
