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Success Story Questionnaire – Help Inspire Other Entrepreneurs
1
Business Name
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2
Contact Name
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3
Job Title
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4
Email
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example@example.com
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5
Phone Number
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6
Upload A Photo of You
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7
Tell us about your business
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8
Website
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9
Active Social Media Channels
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Instagram
Facebook
LinkedIn
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Upload Your Logo
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11
When did you start your business?
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Date
Month
Day
Year
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12
Why did you start your business?
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13
What problem does your business solve?
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14
What stage was your business in when you first sought support?
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Please Select
Idea
Startup
Early Growth
Established
Expansion
Pivot
Succession Planning
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Please Select
Idea
Startup
Early Growth
Established
Expansion
Pivot
Succession Planning
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15
What were your biggest challenges?
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Check all that apply
Business Planning
Financing
Marketing
Sales
Cash Flow
Hiring
Technology
Operations
Growth
Confidence
Networking
Exporting
Other
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16
Tell us more about the biggest challenge
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17
How did this challenge make you feel as a business owner?
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18
Which organizations did you connect with?
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Select all that apply
Town of Cochrane Economic Development
Community Futures Centre West
Cochrane and Area Chamber of Commerce
Innovate Cochrane
Cochrane Business Network
Explore Cochrane
Business Link
Alberta Women Entrepreneurs
Futurpreneur
BDC
Other
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19
How did you first hear about these organizations?
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20
Which services or programs did you access?
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Business Advisory
Business Loans
The Engine Room
SMARTstart
CIE Program
LaunchPad
Networking
Training Workshops
Tourism Marketing Support
Business Planning
Financial Planning
AI Training
Youth Programs
Lemonade Day
Other
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21
Which resource had the biggest impact?
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22
Is there someone or a specific organization or program you'd like to recognize?
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23
What advice or support made the biggest difference?
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24
What actions did you take because of that support?
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25
Was there a moment when you realized things were starting to improve?
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26
What outcomes have you experienced?
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Started my business
Launched a new product
Growth/Expansion
Hired staff
Increased revenue
Improved profitability
Found new customers
Received financing
Purchased equipment
Moved into a new or larger location
Entered new markets
Built confidence
Created a business plan
Other
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27
Can you share any measurable results?
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28
What are you most proud of?
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29
What’s next for your business?
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30
What advice would you give someone starting their entrepreneurial journey?
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31
What would you say to someone considering reaching out for business support?
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32
Which organizations would you recommend they connect with?
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Select all that apply
Town of Cochrane Economic Development
Community Futures Centre West
Cochrane and Area Chamber of Commerce
Innovate Cochrane
Cochrane Business Network
Explore Cochrane
Business Link
Alberta Women Entrepreneurs
Futurpreneur
BDC
Other
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33
Before finding support, I...
Finish the above sentence
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34
Today I...
Finish the above sentence
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35
Any other quotes, testimonials or advice you'd like to add
Optional
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36
Upload Photos
Any photos we could use to share your story
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Max. file size
: 10.0MB
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37
Upload Videos
Any videos we could use to share your story
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: 10.0MB
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38
Photo or Video Captions
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39
Would you be interested in:
Video Interview
Speaking Opportunity
Social Media Feature
Becoming a Mentor to a Local Business Owner
Future Success Story Updates
Website Feature with corresponding organization
Podcast
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40
Anything else you'd like to share?
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41
I give permission for Community Futures Centre West and its regional ecosystem partners to:
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Publish my story
Edit for clarity and length
Use my business name
Use submitted photos
Use submitted videos
Share on websites
Share on social media
Include in newsletters
Include in presentations
Share with partner organizations
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42
Digital Signature
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