Exit this survey Pre-Business Plan Intake Questionnaire: Question Title * 1. Tell us about yourself. Your Name Company Name Company Address 1 Company Address 2 City/Town State/Province Zip/Postal Code Country Email Address Question Title * 2. In which industry do you work? Accounting Advertising Aerospace/Aviation/Automotive Agriculture, Forestry & Fishing Biotech Business Services - Hotels & Other Lodging Places Computer Hardware/Software/Internet Construction / Home improvement Consulting Education Engineering/Architecture Entertainment/Recreation Finance/Banking/Insurance Food service Government/Military Healthcare/Medical Internet (ASP) Legal Manufacturing Market Research/Marketing/PR Media/Printing/Publishing Mining Non-Profit Pharmaceutical/Chemical Research/Science Real Estate Retail/Wholesale Trade Telecommunications Utilities Wholesale Transportation/Distribution Transportation, Electric, Gas, Sanitary Services Business/Professional Services Professional Services - Other Other Don't work Question Title * 3. Which one of the following best describes your current employment status? Employed full time in this business Employed full time in another company Employed part time Self-employed Not employed, but looking for work Not employed and not looking for work Retired Student Homemaker Prefer not to answer Question Title * 4. What is, or will be, the URL for your website? Question Title * 5. Company formation date (if none, best estimate of date of concept formation): Date Date Question Title * 6. Type of company: C Corp S Corp LLC A Benefit Corp (different from a not-for-profit) Not-for-Profit Undecided Other, please specify Question Title * 7. Subsidiaries? Yes No Question Title * 8. Company Description: Question Title * 9. Product or Service Description: Question Title * 10. Major Milestones and Achievements: Question Title * 11. What are the revenues of your company/organization for the past twelve months? Under $10,000 $10,000 to $49,999 $50,000 to $99,999 $100,000 to $499,999 $500,000 to $999,999 $1,000,000 to $9,999,999 $10,000,000 to $49,999,999 $50,000,000 to $99,999,999 $100,000,000 to $1 Billion Over $1 Billion Don't know Don't work Prefer not to answer Question Title * 12. Scalability of business (how large do you see the company getting?): Submit