BrainPOD SignUp Questionnaire

BrainPOD™ is a collaborative ideation experience designed for small to medium-sized businesses and nonprofits. It brings together diverse minds in a structured brainstorming session to generate creative, actionable solutions to real-world challenges.
BrainPOD SignUp Questionnaire

BETA TEST
Organization Name *
Name*

First NameLast Name
Email*
example@example.com
Title or Role
example: Program Manager
Are you the primary contact person for your organization?*

YesNo
How did you learn about BrainPOD?*

Facebook AdInstagramEmail PromotionSomeone Referred MeFacebook Group **Other
Please describe "Other" or share the Facebook Group selected above.
Tell us about your business?
In what industry does your organization/business operate?*

TechHealthcare/WellnessEducationFinance & InsuranceRetailManufacturingHospitality & TourismReal EstateNonProfitConstruction & ArchitectureMedia & ArtsTransportation & LogisticsProfessional ServicesCreative ServicesEnvironmental Services
What size is your organization?*

Microenterprise (1-9employee or up to $1Mill Rev)Small Enterprise (10-50 employees or up to $10Mill Rev)Medium Enterprise (51-250 employees or up to $100Mill Rev)
In which stage of development is your organization?*

Pre-launch/Recently LauchEarlyGrowthEstablished
Describe your target customer or donor?
What are the top 3 challenges your organization is facing?

Cash Flow ManagementAccess to FinancingMarket CompetitionTalent Acquisition and RetentionDigital TransformationRegulatory ComplianceBrand AwarenessScalabilityCustomer RetentionSupply Chain DisruptionsTime ManagementInnovation and AdaptabilityOther
What are the top 3 goals you have for your organization?

Revenue GrowthImproving profitabilityCustomer Acquisition and RetentionBrand DevelopmentMarket ExpansionOperational EfficiencyTalent DevelopmentDigital TransformationSustsainability PracticesEnhancing Customer ExperienceInnovation/New Product DevelopmentFinancial StabilityOther
While your company is facing the following challenges: {whatAre} and pursuing the following goals: {whatAre19}, we can only tackle one issue during your BrainPOD session.
What is the single challenge OR goal you'd like to tackle in your BrainPOD session?*
Tell as about your participants
Name of Participant1 *

First NameLast Name
Email*
example@example.com
Phone Number
Please enter a valid phone number.
From which department is Participant1 coming?*
What level is Participant1*
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
From which department is Participant2 coming?
What level is Participant2
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
From which department is Participant3 coming?
What level is Participant3
What is the alternative challenge OR goal you'd like to tackle in your BrainPOD session?
Please share anything else you'd like to share about your organization.
Should be Empty:

BrainPOD SignUp Questionnaire

Tell us about your business?

Tell as about your participants