DDP Business Questionnaire

DDP Business Questionnaire

Help us update our records and promote your business. It is preferred that the owner of the business complete this form. Thank you!
Business Name:
Your Name:

First NameLast Name
Your Email:
example@example.com
Your Title:
Business Anniversary Date:
Business Size (Include FTE, Part-time and Seasonal employees in your count)

Less than 5 employees5 - 10 employees10 - 25 employees25 - 50 employees50 - 100 employees100 - 250 employees250+ employees
Business Directory Information

We will use your direct responses to update our business directory. Please proof your answers.
Business Phone Number:
Please enter a valid phone number.Format: (000) 000-0000.
Street Address:
Write 1-2 sentences about your business:
Limit to 80 characters
Website:
Facebook:
Instagram:
Twitter:
Please upload photo(s) of your business:

Cancelof
Select the category that best describes your business (Choose no more than two)*

Arts & CultureAttractionsFood & DrinkHealth & BeautyHotelsHousingRecreation & FitnessServicesShopping & RetailWellness & MedicalWorshipOther
If you selected ARTS & CULTURE or ATTRACTIONS, please select sub-categories:

Art GalleriesCinema/Movie TheaterLive MusicMuseumsParksSportsTheatreToursOther
If you selected FOOD & DRINK as a category, please select sub-categories:

AmericanAsianBarBakeryBBQBreakfast/BrunchBrewery/DistilleryBurgersCateringCaribbeanCajunCoffee, Tea, CafesDeliDessertsEthiopianFine DiningFrenchGreekHealth FoodsHome CookingIndianIrishItalianLate Night KitchenLunch (Week-days)Lunch (Weekends)MexicanMiddle EasternNightlife & BarsPizzaQuick EatsSeafoodSteakSouthernVeganVegetarianOther
If you selected SERVICES, please select sub-categories:

AutomotiveBusiness ServicesCreative ServicesDay CareFinancialMusic ServicesOfficePet CareReal EstateSalons + SpasOther
If you selected SHOPPING & RETAIL, please select sub-categories:

AccessoriesAntiquesChildren's ApparelMen's ApparelWomen's ApparelBooksArts, Crafts, GalleriesEye WearGames & ToysGifts & NoveltiesGroceryHealth & BeautyHomeJewelryShoesTextilesArtGrocerHome & GardenMade in the Quad CitiesMusicPersonal CareSports & OutdoorBeer, Wine & SpiritsOther
Are there any categories that you consider your business under that we missed?
For our internal records:
Business Ownership Gender:

Male-OwnedMale/Female OwnedWomen-OwnedPrefer not to answer
Business Ownership Minority Status

Hispanic-OwnedAsian-OwnedAsian Indian OwnedBlack or African-American OwnedAmerican Indian and Alaskan Native OwnedNative Hawaiian and Other Pacific Islander OwnedFrom multiple racesPrefer not to answer
Business Qualifies as a:

B CorpLGBTQ Owned BusinessEconomically Disadvantaged Women Owned Small BusinessDisability Owned Business Enterprise (DOBE)Small Disadvantaged Business EnterpriseService-Disabled Veteran-Owned Small Business (SDV-DOBE)Veteran Disability-Owned (V-DOBE)Veteran Owned Small BusinessWomen Business EnterpriseWomen-Owned Small BusinessNone of the above
Inclusive Employers: Would you like your business to be included in a list of employers that have job opportunities for people with convictions or those with disabilities?

YesNoN/A
Please list any email addresses of employees that should receive newsletters from DDP:
Should be Empty:

DDP Business Questionnaire

Business Directory Information

For our internal records: