1.
How
many employees in your Business? Sole Proprietor 2-5 employees
6-10
employees 11-25 employees more than 25 employees
2.
What is your
Business's Gross Annual Revenue? (in
$'000s)
0-10 11-30 31-70 71-120 121-200 over
200
3.
Is yours a
Home-Based Business? Yes No
4.
If you answered
Yes to the question above, is your Home-Based
Business:
seasonal
year'round "on-and-off" temporary permanent
4a.
Your Business is
your primary source of income.
Strongly Agree Somewhat Agree Agree Somewhat Disagree Disagree
4b.
Do you hold another job as well as running your own Business? Yes No
5.
Do you belong to
any Local/Municipal Business associations?
Yes No
6.
Do you belong
to Regional/Provincial Business
associations? Yes No
7.
You are a member
of: (click all that apply - leave blank if
none)
Jaycees Kiwanis Rotary Shriners Other
8.
Business
publications (e.g.FORTUNE) are important to your
Business.
Strongly Agree
Somewhat Agree
Agree Somewhat
Disagree Disagree
9.
Do you subscribe
to any trade journals or magazines? Yes No
10.
You often read: (click all that apply - leave blank if
none)
Kelowna Courier Globe and Mail Sun or Province
National Post
11.
Has your
Business ever received Government funding?
Yes No
12.
Mass advertising
(e.g.television,radio) is critical to your
Business.
Strongly Agree Somewhat Agree Agree Somewhat Disagree Disagree
13.
Niche/targeted
advertising is critical to your Business.
Strongly Agree Somewhat Agree Agree Somewhat Disagree
Disagree
14.
You advertise at
a high saturation.
Strongly Agree Somewhat Agree Agree Somewhat Disagree Disagree
14a
You advertise at
a high frequency.
Strongly Agree Somewhat Agree Agree Somewhat Disagree Disagree
15.
What percentage
of sales do you typically spend on
advertising?
0-3% 4-7%
8-12% 13-17% 18-25% more than 25%
16.
Besides word of
mouth, what single advertising medium is your most
successful?
Newspaper TV Radio Magazine Internet Signs
Direct Mail Promotional Items
(e.g.imprinted pens, mugs)
17.
Your Business
predominantly provides goods or services to:
Other Businesses General
Customers Both about
equally
18.
What is the
approximate value of your Business's non-liquid
assets (e.g.vehicle,property)? (in
$'000s)
0-5
5-10
11-20
21-50
Over
50
19.
What is your
Business's trading area?
Locality (e.g. Glenmore, Lakeview) All of
City Central Okanagan
All Okanagan All of B.C. Canada North America Worldwide
20.
Do you have a
Business web site? Yes No
21.
If you answered
Yes to the question above, what approximate percentage
of your Business's trade comes from the web
site?
0-10%
11-20%
21-40% 41-55%
56-75% 76-90%
91-100%
22.
Is your Business
suitable for franchising? Yes
No
23.
If Yes to the question above, have you considered it? Yes No
24.
Zoning bylaws
affect your Business.
Strongly Agree Somewhat Agree Agree Somewhat Disagree Disagree
25.
The Government level that has the most direct impact on your Business is:
(click all that apply - leave blank if none)
Municipal Gov't
Regional Gov't
Provincial Gov't
Federal Gov't
26.
Do you plan on selling your Business to fund your retirement? Yes No
27.
Do you plan on passing your Business on to family? Yes No
28.
Are other family members directly involved in your Business? Yes No
29.
Do you have children living at home? Yes No
30.
Your accounts
receivable policy is very aggressive.
Strongly Agree Somewhat Agree Agree
Somewhat Disagree Disagree
31.
You consider
yourself to be:
Physically active
Health "nut" Somewhat active
Not very active Genuine
couch potato
32.
You go out
regularly to attend organized social events.
Strongly Agree Somewhat Agree Agree Somewhat
Disagree Disagree
33.
Inventory
depreciation is a large concern for your
Business.
Strongly
Agree Somewhat
Agree Agree Somewhat
Disagree Disagree
34.
Your Business is
affected by seasonal fluctuations.
Strongly Agree
Somewhat Agree
Agree Somewhat
Disagree Disagree
35.
Internet
Copyright infringement can seriously damage your
Business profits.
Strongly Agree Somewhat Agree Agree Somewhat Disagree
Disagree
36.
What is your
age?
Under 18
18-24
25-34
35-44
45-54
55-64
65 or
over
37.
Your Business is
agriculture-based (e.g. orchardist, fruit/vegetable
products).
Strongly Agree
Somewhat Agree Agree Somewhat Disagree Disagree
38.
You provide a
select group of customers with customized goods or
services.
Strongly Agree Somewhat Agree Agree Somewhat Disagree
Disagree
39.
You regularly
read trade publications.
Strongly Agree
Somewhat Agree
Agree Somewhat Disagree
Disagree
40.
Business-development workshops are important to
you.
Strongly Agree Somewhat Agree Agree Somewhat Disagree Disagree
41.
You use these
media to advertise your Business: (check all that
apply)
Newspapers TV Internet Radio Magazines
Mailouts/flyers Billboards
Signage(incl.vehicle) Promotional
Items(e.g.pens,mugs)
42.
You use these
media to seek goods/services you need: (check all
that apply)
Newspapers TV Internet Radio Magazines
Mailouts/flyers Billboards Signage(incl.vehicle) Promotional
Items(e.g.pens,mugs)
43.
Internet/computer-based goods/services are a large part
of your Business.
Strongly
Agree Somewhat
Agree Agree Somewhat
Disagree Disagree
44.
Do you transact Business electronically? ("e-commerce")? Yes No
45.
You have
purchased the following Business services within the
last 2 years:
Accounting
Marketing Auditing/Inventory
Administrative Technical
Mechanical
Computer Consulting
Human
Resources Research
46.
You normally
purchase these Business services (above) from outside
sources.
Strongly Agree
Somewhat Agree
Agree Somewhat Disagree
Disagree
47.
If you ever
needed these Business services, you found them best
through:
(check any that apply)
Yellow Pages Personal contact
Family Business referral Internet
Business Journal Newspaper Radio Signs/Billboards Television
48.
You have a
comprehensive Strategic Plan for your
Business.
Strongly Agree Somewhat Agree Agree
Somewhat Disagree Disagree
49.
Questionnaires
are a good way to measure customer
satisfaction.
Strongly Agree Somewhat Agree Agree Somewhat Disagree Disagree
50.
Reason you
started your independent Small Business: (check all
that apply)
Victim
of Downsizing To
escape the corporate "rat race" More
independence More
earning potential Pure
interest/passion Personal or Family issues Identified unique Business opportunity
All Done!