Annual Business Survey

To better serve the businesses in our area, please respond to the questions so we can build your business profile and determine where we might be able to provide further services to assist you in achieving your revenue goals. The survey should take only a approximately minutes to complete. If you should have any questions, please contact me at 225.445.1383 or by email at lee@visitdonaldsonville.org.

Business Name *

Primary Business Owner's Name *

Physical Address *

Mailing Address *

City *

State *

Zip Code *

Phone *

Email *

Website *

Fax *

Would business training assist you in solving your issues? *

Yes

Not Sure

What do you feel is the most challenging issue or aspect of running your own business? *

Other Training *

Does the business have the following? *

	Yes	No	N/A
Written Business Continuity/Disaster Plan *	Written Business Continuity/Disaster Plan - Yes	Written Business Continuity/Disaster Plan - No	Written Business Continuity/Disaster Plan - N/A
Computerized Inventory *	Computerized Inventory - Yes	Computerized Inventory - No	Computerized Inventory - N/A
Written Marketing Plan *	Written Marketing Plan - Yes	Written Marketing Plan - No	Written Marketing Plan - N/A
Computerized Accounting System *	Computerized Accounting System - Yes	Computerized Accounting System - No	Computerized Accounting System - N/A
Data Back-Up System *	Data Back-Up System - Yes	Data Back-Up System - No	Data Back-Up System - N/A
Written Personnel Policies *	Written Personnel Policies - Yes	Written Personnel Policies - No	Written Personnel Policies - N/A
Credit/Debt Collection Policies *	Credit/Debt Collection Policies - Yes	Credit/Debt Collection Policies - No	Credit/Debt Collection Policies - N/A

Would having any of the following certifications assist you? *

	Yes	No
Woman - Owned Certification *	Woman - Owned Certification - Yes	Woman - Owned Certification - No
Minority - Owned Certification *	Minority - Owned Certification - Yes	Minority - Owned Certification - No
State Small Business Certified *	State Small Business Certified - Yes	State Small Business Certified - No
State Hudson Certification *	State Hudson Certification - Yes	State Hudson Certification - No
State Veteran Owned Certification *	State Veteran Owned Certification - Yes	State Veteran Owned Certification - No

Under what form of ownership is the firm now operating? *

Which best describes the location of your business? *

Is the firm capitalized enough to survive a downturn in sales or other unforeseen events? *

No, the firm is highly leveraged and additional access to capital would be an interest to me

Some leverage exists, but capital is still adequate

Yes, there is more than enough capital

How do you market your business? Is this effective? *

	Yes	No
Word-of-Mouth *	Word-of-Mouth - Yes	Word-of-Mouth - No
Print Ads *	Print Ads - Yes	Print Ads - No
Radio/TV Ads *	Radio/TV Ads - Yes	Radio/TV Ads - No
Internet Ads *	Internet Ads - Yes	Internet Ads - No
Website *	Website - Yes	Website - No
Social Media *	Social Media - Yes	Social Media - No

Has the firm conducted any market research? *

Yes

No, but I would like to have assistance with this.

The firm's sales are? *

Increasing

Decreasing Unchanged

I am a new business and have not sold anything yet.

Does the firm have any employees (not including the owner)? *

Yes

Full Time Eployees *

Part Time Employees *

In the past year, how many employees have you hired? *

In the past year, how many employees have you laid off? *

In the past year, would you consider your business to be: *

Approximately what percentage of your sales today are from customers that you did not offer 3 years ago? *

List the % of sales from new customers or services you did not have 3 years ago?

Approximately what percentage of your sales today are from products or services that you did not offer 3 years ago? *

List the % of sales from new products or services you did not have.

Estimated Business Net Worth *

To calculate business net worth, take your total business assets minus total business liabilities = TOTAL BUSINESS NET WORTH

Please Contact Me

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I would like to set an appointment to discuss how your department can assist my business. Please contact me using the following method:

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Annual Business Survey