Name (First Last)
Phone Number (ex. 1-555-555-5555)
Location (City, State)
Where do you work outside of a traditional work environment?
Other coffee shops
I have an office
Which hours do you typically work? (check all that apply)
How many hours a week do you work outside of a traditional work environment? (i.e. coffee shops, bookstores, library)
Less than 5 hours
40 or more hours
How much do you spend a day on coffee, tea or soft drinks while working?
$0 - $5
$10 - $15
$15 - $20
What, if anything, would you change about your current work environment?
More interactions with peers
More social connections
More traditional (desk, filing cabinets, front desk staff, mail and package handling)
Access to industry professionals and organizations
Access to funding/resources
Move out of my home
Have you ever worked out of a co-work space before?
Are you interested in becoming a member of a co-work community/office suite-environment?
Are you currently a member of a co-work space?
How often do/would you visit a co-work space?
1-2 days a week
2-3 days a week
3-5 days a week
5-7 days a week
What else would you like us to know about you and/or your work?
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