Questionnaire
What’s your name?
First Name
Last Name
Email Address
How can we reach you?
Address
City
State
Zip
Phone
Mobile
Fax
Tell us a little bit about yourself
Have you ever started a business before?
YES
NO
Do you own your own business currently?
YES
NO
What profession do you have the most experience in?
Select
Accounting
Administrative
Advertising/PR
Aerospace
Agriculture
Architecture
Arts
Automotive
Banking
Biotech
Business Opportunity
Computers
Construction
Consulting
Consumer Products
Conventions
Creative Design
Customer Service
Education
Electronics
Energy
Engineering
Entertainment
Entrepreneur
Facilities Mgt
Fashion
Finance
Government
Healthcare
Hospitality
Hotel
Human Resources
Insurance
Internet
IT
Law Enforcement
Legal
Logistics
Maintenance
Management
Manufacturing
Marketing
Military
Mortgage
New Media
Non Profit
Odd Jobs
Operations
Part Time Work
Pharmaceutical
Piece Work
Publishing
R&D
Real Estate
Restaurant
Retail
Sales
Stay At Home Mom
Student
Technology
Telecommunications
Transportation
Travel
Unemployed
Volunteer
Waste Management
Writer
OTHER…
Are you currently employed?
YES
NO
How did you hear about us?
Select
Television
Radio
Magazine
Website
Search Engine
Friend
OTHER…
Give us a general understanding of your great idea
How long have you had your idea?
Select
Don't have a great one yet but I'm working on it.
Brand new. Inspiration just struck me.
A short while. I'm doing research exited to get started
Over a year. Just haven't done anything yet.
I've been sitting on this for as long as I can remember.
Is your idea in an industry you have experience in?
YES
NO
What category do you see your idea in ?
(examples: food, garment, toys, technology, household)
Is your idea 100% original or is it better than something
that exists?
Select
100% original
It's an reinvention of something else
I honestly don't know
Is the idea patentable?
YES
NO
I DON'T KNOW
Help us understand what you've done so far with your great idea
How much time have you put into it already?
Select
0 time, I just thought it up
Hard to measure, I haven't quit my job, but think about it and work on it often
Over a year of R&D and emotional investment
Feels like my entire life
How much money have you sunk into it already?
Select
Nothing
A few bucks here and there
Thousands
Hundreds of thousands
Millions
Do you have a prototype?
YES
NO
Have you researched the competition?
YES
NO
Tell us about the business part of your great idea
Are you currently in business with this idea?
YES
NO
Do you have any sales?
YES
NO
Have you written a plan?
YES
NO
Please check the areas where you think you need the most help.
Everywhere, I don't have a clue, just a great idea
Don't need much help, just want to bounce off a question or two
Getting Started
Protecting My Idea
Raising Money
Running the Business
Getting the Numbers Right
Planning it Properly
Finding Distribution
Getting Sales
Creating Good Marketing
Generating Buzz
Managing People
Dealing with Vendors
Growing the Business
Discovering New Markets
My great idea is stuck, and I need help turning it around
Developing a Banking Relationship
Finding a Trusted Mentor
Developing my Network
Building a great Web presence
Other
How much money do you think you need to get your great idea to market
I Honestly Don't Know
100 — 500K
500K — 1M
1 — 3M
3 — 10M
10M+