New Start Up Business Assessment Form

NEW/START-UP BUSINESS ASSESSMENT FORM

THIS QUESTIONAIRE IS REQUIRED WHEN SCHEDULING YOUR COACHING SESSION. IT IS VERY IMPORTANT THAT YOU SHOW UP AT THE SCHEDULE TIME. IF YOU DON'T SHOW UP OR CONTACT US, YOU LOSE THE CHANCE TO RESCHEDULE.
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Country*
What is Your Age?*
What is Your Marital Status?*
What is the Name of your Business? *
What is the Status of Your Business?*
If Proposed, how soon do you plan to start your business?
If Existing, Length of Time in Business? (If you have not started business yet, type "0")*
Have you formed a business entity yet (i.e. LLC, Corporation, etc)? If so, what kind?*
Type of Business Operation (whether existing or proposed)?*

On-line BusinessBrick and MortarProduct Sales BusinessService BusinessWork from HomeOther
What Type of Products or Services do you, or will, you offer?*
What are your short term business goals?*
What are your long term business goals?
What is your current monthly business revenue/income, if not applicable type "0"?*
What is your current monthly business expenses, if not applicable type "0"?*
What business start-up services are you seeking in starting or improving your business?*

Business Entity Formation with your state office (i.e. LLC, Corporation, etc.)Filing of Federal (IRS) Business EIN and State I.D.Corporate BylawsOperating Agreement for LLCBanking ResolutionBusiness MinutesVirtual AddressEstablished Business PhoneRegistered Agent ServiceDun & Bradstreet NumberSteps to Building Business CreditWebsite DesignBookkeeping/Accountant ServicesOther
What is your ideal of a successful, thriving business?*
On a Scale of 1-5 (5 being the highest) how serious are you about utilizing business coaching to help you in reaching your business goals?*
How did you hear about us?*
Should be Empty:

NEW/START-UP BUSINESS ASSESSMENT FORM