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* 1. What is your name?

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* 2. What is your company name?

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* 3. How much capital did you receive from Fora Financial?

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* 4. Please provide your email address?

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* 5. What industry is your company in?

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* 6. What were the opportunities/challenges requiring additional funding?

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* 7. How did the funds from Fora Financial help address your needs?

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* 8. What were the results realized by your company after using the funds?

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* 9. Why did you choose Fora Financial as your funding partner?

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* 10. Is there anything else you’d like to share about your experience with Fora Financial and/or how the funds received helped your business success?

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* 11. Would you be interested in a phone interview?

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* 12. Was this your first time receiving funds from Fora Financial?

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* 13. If you have received funding from Fora Financial previously, how many times?

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