Business Evaluation Form
Email address *
Company Name
Contact Name
Website Address (URL)
Business Address
Service of Interest
Clear selection
Which of the following professionals do you use regularly? *
Current Annual Revenues
Current Annual Expenses (do not include payroll)
Price Range of Products /Services
Clear selection
Current Marketing Methods
Current Employee Mix *
Breakdown how many of each employee type you have (ex: 15 sales people 5 admin people 3 managers)
Payment Terms Offered
Payment Forms Accepted
Service Areas
Clear selection
Business Organizations Membership
Problems and Challenges Impeding Your Growth
Clear selection
Revenue Goals for Next 12 Months
Clear selection
Credit Status
Clear selection
Credit Card Processing Volume
Clear selection
What Type of Business or Professional Service Provider Would Be Your Ideal Referral or Joint Venture Partners?
Have you ever used events/speaking opportunities to promote your products/services?
Clear selection
Do you currently do business with the U.S. Government?
Clear selection
If you are seeking financing for your business, do you at least have 10% to put towards it?
Clear selection
Several of our programs rely on cost cutting methods to offset cost of programs to make them "no direct out of pocket cost" to our clients, if we can reduce your current expenses in several areas through audit or just going with better vendors, are you willing to comply with a cost reduction plan?
Clear selection
A copy of your responses will be emailed to the address you provided.
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