Welcome to the Impact Startup Advisor Tool

By answering a few simple questions, we can assist you in making an informed decision about which of our services would best meet your startup's needs.

(takes 60 seconds)

Sign in to Google to save your progress. Learn more
Email *
What's your name?
What's the name of your startup?
What's the URL of your startup's website?
If you don't have a website yet, please share a link to a one-pager.
What's your startup's short pitch?
Try to include what drives you or your startup.
What year did you start?
How big is your team?
On what scale does your startup make impact?
Choose Other if you focus on a specific sector (or problem owner, community, etc.) and describe them in a couple of words.
Clear selection
What Dutch province are you based in?
This helps us to recommend available subsidies.
How are you funded?
Clear selection
What would you like help with?
What extra capacity or expertise would be helpful?
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Agile Arthur.

Does this form look suspicious? Report