BLK GRL MOB Member Profile and Assessment
Welcome! This small business assessment is for the BLK GRL MOB Community. It will take 3-5 minutes to complete.
Your Information
First name
*
Last name
*
State
*
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Your Business Basics
Company name
*
Website
*
Facebook Handle (if applicable)
IG Handle (if applicable)
LinkedIn Handle (if applicable)
What stage is your business in?
*
Idea Phase
New Business (0–2 years)
Growing Business (3–5 years)
Established Business (5+ years)
Is your business legally registered?
*
Yes
No
In Progress
Is your business For-Profit or Non-Profit?
*
For-Profit
Non-Profit
Do you currently work your business full-time or part-time?
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Full-Time
Part-Time
Spare-Time
Does your business fall into any of the categories below?
*
Solopreneur (0 employees)
Micro-business (1-10 employees)
Home-based business
Woman-owned business
Black-owned business
Other minority-owned business
Rural-area zoned business
Veteran-owned business
None of the above
What industry best describes your business?
*
Accounting & Tax Services
Advertising & Marketing
Arts, Entertainment & Creative Services
Automotive Services
Beauty & Personal Care
Business Consulting
Childcare & Family Services
Coaching & Personal Development
Construction & Contracting
Education & Training
Event Planning & Services
Faith-Based Organization
Finance & Financial Services
Food, Beverage & Catering
Government & Public Services
Graphic Design & Branding
Health & Wellness
Home & Commercial Services
Human Resources & Staffing
Insurance
Interior Design & Home Decor
Legal Services
Manufacturing & Production
Media & Communications
Mental Health & Counseling
Nonprofit Organization
Photography & Videography
Professional Speaking
Real Estate
Retail & E-Commerce
Technology & IT Services
Transportation & Logistics
Travel & Tourism
Virtual Assistance & Administrative Support
Writing, Publishing & Editing
Other
What specific niche or specialty are you in?
*
In 1-2 sentences, describe your business.
*
List any business-related licenses or certifications
*
Write "N/A" if you have no licenses or certifications
List 3 or 4 keywords or phrases that best represent what you do or what someone would search to find you.
*
Your Business Goals and Needs
How are you currently protecting you business and your brand? Check all that apply
I have completed a business plan
I have business insurance
I have a business attorney
I have a business accountant
I have business fraud protection
Do you have contracts in place for clients, services, or vendors?
*
Yes
No
Sometimes
Does your business have a trademark?
*
Yes
No - But I need one
No - not applicable
Pending
Do you have employees?*
*
No
Yes, W-2
Yes, 1099
Both W-2 and 1099
Do you have access to affordable legal support when business issues arise?
Yes
No
Do you have a Will, Trust, Power of Attorney, or personal legal plan in place?
*
Yes
No
Need to update
Are you concerned about identity theft or business fraud?
*
Yes
No
Haven't thought about it
Have you ever had to deal with chargebacks, unpaid invoices, disputes, or other legal headaches?
*
Yes
No
Do you consistently market your business weekly?
*
Yes
No
I try to
Are you actively networking and building referral partnerships?
*
Yes
No
Sometimes
Are you interested in podcast features, business spotlights,or promotional opportunities?
*
Yes
No
Tell Me More
Would increased visibility help your business grow faster?
*
Absolutely
Somewhat
Not Really
Do you currently rely on your personal credit to cover business expenses?
*
Yes
No
Do you actively monitor your personal credit?
*
Yes
No
Occasionally
Do you have a financial plan in place for unexpected legal or business issues?
*
Yes
No
Somewhat
Are employee benefits, small business benefits, or team protection important to your business?
*
Yes
No
Not Sure
Do you currently use systems or automation tools to manage your business efficiently?
*
Yes
No
Somewhat
Not sure where to begin
Do you feel your brand and online presence clearly reflect the quality of your business?
*
Yes
No
Somewhat
I'm currently rebranding
Would an additional income stream connected to your current network interest you?
*
Yes
No
Maybe
Your Best Connections
This will be our starting point!
What's your entrepreneurial vibe? Choose any 3
*
Strategic
Analytical
Collaborative
Community-Focused
Creative
Visionary
Innovative
Ambitious
Driven
Competitive
Fast-Paced
Organized
Reliable
Detail-Oriented
Practical
Encouraging
Supportive
Empathetic
Bold
Curious
Methodical
Relationship-Oriented
Mission-Driven
Results-Focused
Who do you naturally work best with? Choose any 2
*
Visionaries with big ideas
Detail-oriented planners
Fast-moving action takers
Relationship builders
Creative thinkers
Systems and process people
Data-driven decision makers
Mission-driven entrepreneurs
Experienced business owners
New and emerging entrepreneurs
Priority
This will be our starting point!
Which area is your GREATEST need right now?
*
Legal Protection
Business Visibility
More Clients
Additional Income
Systems and Structure
Networking Opportunities
Marketing Strategies
Event Support
Team/Employee Benefits
Funding
Branding
Tech/AI
Nonprofit Support
Mental Health/Wellness
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