Welcome to the Small Business Questionnaire Part One.

The format is very simple. Nearly every question can be answered via a check-box, so it goes fast.

The free survey is actually split into two parts:

Questionnaire Part 1: What I Know About My Business
Questionnaire Part 2: What I Know About Marketing, Advertising, Promotion

If you simply want to perform a business self-diagnosis, you can. Just copy each survey and print it out, entering your answers by hand.

By doing so, you will see a picture emerge as to what issues you face, and what answers you might use to address them.

If you want to complete the answers online and submit them, along with your contact information, I'll look over your responses and get back with you by email or phone to discuss your business. That discussion we'll have is FREE.

You see, when I meet with a business for the first time, both parts of this questionnaire form the structure for how I learn about the business. So, if you submit them both upfront, you actually save us both a lot of time. And you still get the first discussion hour free.

So, except for about 10 minutes of your time, you have absolutely nothing to lose, and everything to gain, by filling out the information and submitting it online. And no, you will NOT be placed on some spammer's email list. I hate spam just as much as you do.

What I Know About My Business

Please note that all fields followed by an asterisk must be filled in.

First Name*
First Name*

Last Name*
Last Name*

E-mail Address*
E-mail Address*

City*
City*

State/Prov*
State/Prov*

Country*
Country*

Business Phone*
Business Phone*

I know my monthly / weekly / daily traffic

	Yes
	No

I know my monthly / weekly / daily number of transactions

	Yes
	No

I know my average sales dollars per transaction

	Yes
	No

I know my average gross margin per transaction

	Yes
	No

I know my average cost to attract and acquire that transaction

	Yes
	No

I know my ONLINE monthly / weekly / daily traffic

	Yes
	No

I know my ONLINE monthly / weekly / daily number of transactions

	Yes
	No

I know my ONLINE average sales dollars per transaction

	Yes
	No

I know my ONLINE average gross margin per transaction

	Yes
	No

I know my ONLINE average cost to attract and acquire that transaction

	Yes
	No

I can describe the age, gender, culture, and marital status of my buyers

	Yes
	No

I can draw a circle on a map showing where 80% of my buyers come from

	Yes
	No

I can tell you why my clients buy from me rather than my competitor(s)

	Yes
	No

I know some of my clients have positively referred me to other buyers

	Yes
	No

I have a program in place to capture buyer data for staying in touch

	Yes
	No

When I lose a sale, I usually understand why

	Yes
	No

The market for my primary business line is

	Growing
	Steady
	Shrinking

My client base appears to be

	Growing
	Steady
	Shrinking

The economic climate for my business area is

	Growing
	Steady
	Shrinking

The number of competitors I have is

	Growing
	Steady
	Shrinking

The price points of my goods / services are

	Growing
	Steady
	Shrinking

The margins in my business appear to be

	Growing
	Steady
	Shrinking

I price my goods / services (multiples OK)

	At what the market will bear
	According to competition
	To a % or $ margin formula
	Based on 3rd party payment

I employ promotions (multiples OK)

	Never
	Occasionally Scheduled
	Regularly Scheduled
	Only when necessary
	To move seasonal / overstock
	Too often

I have a paid referral program

	Yes
	No

I have a "points" or continuity program to keep buyers returning

	Yes
	No

Compared to competitors, I over-deliver value vs price

	Yes
	No

With NO additional major resource commitments, my business could handle revenue growth of ___%

Would you realistically consider the "what ifs" of a growth % larger than above?

	Yes
	No

What growth % would you aim for, assuming you could finance additional resources?