Title *

Last Name (Apelyido) *

First Name (Pangalan) *

Age (Edad) *

City of Residential Address (Tirahan) *

Mobile Number *

Email Address *

Occupation (Trabaho) *

What's your business industry? (Ano ang industriya ng iyong negosyo?) *

Please select a topic. (Pumili ng topic.) *

Do you currently have a registered business? (Mayroon kabang kasulukuyang negosyo) *

Specify the name of product or service (Example: Food, Beauty Products, Bags,Salon,Canteen,Farming,Sari-sari store) *

What's the registered name of your business? (Ano ang pangalan ng iyong negosyo?) *

How long has your business been operating? (Gaano na katagal ang iyong negosyo?) *

What are the challenges you are facing as an entrepreneur? (Ano ang mga pagsubok na iyong napagdaanan bilang isang negosyante?) *

What are the possible questions/concerns would you like to ask in the mentoring session? (Mga posibleng tanong na gusto mong itanong sa mentor?) *

Do you have a zoom account? (Mayroon ka bang zoom account?) *

Can you download zoom app on your mobile phone for the online mentorship? (Maaari mong i-download ang zoom app sa iyong mobile phone para sa online mentorship?) *

Do you have a stable internet connection? (Mayroon ka bang isang mabilis na koneksyon sa internet? *

Would you like to receive updates via email on the latest projects of Go Negosyo and its partners? (Gusto mo bang makatanggap ng update sa text/email tungkol sa mga proyekto ng Go Negosyo?) *

How did you find out about the event? (Paano mo nalaman ang tungkol dito?) *

What mobile applications do you often use? (Anong mga mobile applications ang madalas mong gamitin?)