Small Business Self-Assessment

Small Business Self-Assessment

The VMT requires the following information on your company, skills and expertise so we can best identify which mentors will benefit you the most. You will need about 10-15 minutes to complete this form - and best to respond on a large screen. The VMT thanks you for your time. After you click Submit at the end of the survey, a copy of your submission will be automatically emailed to you.
Company Name:*
Your Name:*

First NameLast Name
Your Email:*
example@example.com
1-Minute Video*
Provide URL - Google Drive, Dropbox file..... PLEASE include the https://
Pitch Deck*
Provide URL - Google Drive, Dropbox file...... PLEASE include the https://
Your Title:*
Your Phone:*
Please enter a valid phone number.
Industry:*
Are you working full-time in your business?*

YesNo
Number of Employees Working Full-Time (including yourself):*
Number of Employees Working Part-Time (including yourself):*
Location (City, State, or Country)*
Website: (if none, please type "None"
Referred by/Referring Organization:
Other Referring Person or Organization:
Have you received any type of Entrepreneur training?*

YesNo
Have you previously attended any technical assistance programs?*

YesNo
Add the kind of training received:*
Company Description: Who you are? What you do? (minimum 75 words)*
List members of your small business and their functions; and identify those members who are co-founders, if any).*
Are you the primary decision-maker?

Yes (Always)No (Never)Share the decision with others

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BUSINESS OPERATIONS: ... for managing day-to-day business tasks?
BUSINESS PLAN: ... for documenting a business plan for the next 12 months?
STAFF DEVELOPMENT: ... for hiring staff?
COMPANY CULTURE: ... for establishing a company to attract and retain employees?
RISK MANAGEMENT: ... for identifying key risks that could adversely impact your business? (for example, product defects, payment problems, market shift, customer complaints, employee safety, competitors, etc.)
BUSINESS SUSTAINABILITY: ... for planning long-term projects?
DEVELOPING NEW BUSINESS IDEAS: ... for meeting with customers and other interested parties to find new ideas for your business or needing to pivot?

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TARGET MARKET: ... for knowing your customer profile?
CUSTOMER SERVICE: ... for seeking feedback from customers?
CUSTOMER RETENTION: ... for repeat business?
SALES PIPELINE: ... for developing continuous sales?
REPUTATION MANAGEMENT: ... for addressing customer complaints?
COMPETITOR KNOWLEDGE: ... for knowing how you differ from your competitors?

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BUDGET PROJECTIONS: .. for planning a 2-year budget?
MAINTAINING CASH FLOW: ... for keeping a cash balance?
BUSINESS MODEL: ... for charging the right amount?
PROFITABILITY: ... for paying yourself a regular salary?
REINVESTMENT: ... for using your profits to grow your business?

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CUSTOMER MANAGEMENT SOFTWARE: ... for managing your customers' business with you?
MARKETING MEDIA: ... for use of email, social media (for example, blogs, Facebook, Google Ads, etc.), or direct mail?