Metropole Global FundingCompass™ Questionnaire

Metropole Global FundingCompass™ Questionnaire
Please fill out our questionnaire outlining the state of your business where each question possesses a certain criteria or formula which would determine the ultimate probability of the financing option specifically tailored to your business.

You don’t have to answer each single question if you feel uncomfortable with disclosing some information, however please keep in mind that the more information we can obtain and analyze, the more realistic and practical suggestions we can deliver

Our system is secured by Comodo

NOTE OF CONFIDENTIALITY: The information you will provide us in our questionnaire is confidential by default. Try to give us the most comprehensive information so we could deliver you the most objective and straightforward report. Please note that filling out our report is also a highly valuable exercise so you could gain the financing strategy skills - and not being dependent on anyone – not even us. Be patient and give it a try – knowledge is power and we are pleased to share it with you.

The final product – your FundingCompass ™ Exclusive Report that will feature the top ten most realistic funding options for your venture with our comments and suggestions outlining the funding sources and most effective approaches that ultimately will help to acquire the money.
Name*

First NameLast Name
E-mail*
Company Name*
Company Website
1. How much capital you are looking for ?
Other amount:
2. What was your previous funding?
Other (please explain)
How much of your own money have you put in your venture (aka “skin in the game”)?
Other (please explain)
Research & DevelopmentProduct development/MVP (minimum viable product) to prove the ideaWorking capital (the product exists, need to scale)Expansion capital financing (funds primarily need for marketing and advertising)Bridge financing (small funds needed before the next round of capital)As a cushion against riskOther
YesNoOther
IntroductionGrowthMaturityDeclineOther
YesNoI don’t knowOther
DepressedStableGrowthRapid growth (more than 20% per year)I don’t knowOther
YesNoI am working on it now
YesNoI don’t knowOther
YesNoI am working on getting themNA
YesNoOther
Which Minority Group?
YesNoOther
YesNoOther
YesNoOther
16. Please describe the product/venture you are building (in less than 200 words)

0/200
17. Explain what market problem you are solving (in less than 200 words)

0/200
18. Explain who are your existing/potential customers and how you reach them (in less than 200 words)

0/200
19. Who are the competitors in the industry in which you operate?

0/200
20. Explain why you and your team are the best people to make this business work (in less than 200 words)

0/200
Only me, part-timeOnly me, full-timeI and my team – part-timeI and my team – full timeOther
YesNoOther
23. Please describe your previous ventures (in less than 200 words)

0/200
YesNoN/AOther
Individual proprietorship/DBALimited companyPartnershipLimited partnershipCorporationJoint ventureAssociationNon-profit (501(c)(3) status)Other
YesNoOther
27. Where are you based?
28. Which State?
Relocate the business to the U.S.Relocate the operational business to the U.S. while leaving R&D at the country of originN/AOther
YesNoOther
YesNo
YesNoOther
YesNoI am working on it
EquityDebtRoyaltyGovernment financing programsAlternative (Crowdfunding, etc.)I don’t knowOther
up to $1Mup to $10Mup to $100Mabout $1B$1B- $10BI don’t knowOther
36. What is your credit score? (You can get a free credit report once a year from reporting agencies like Equifax)
under 10at least 10I don’t know
38. Last year revenue level
less than $1,000$1,000-$5,000$5,000-$10,000$10,000-$20,000$20,000-$50,00050,000-$100,000Over $100,000
No growth0-5%5%-10%10%-20%Other
We are through a break-even already0-12 months12-24 monthsin 2 years or moreI don’t know

42. Please fill out the form below based on your financial statements for the past three years and your own projections for the current year (conservative scenario):

Rows	2013	2014	2015	2016 (projected)	2017 (projected)
P&L items
Revenues
Cost of Revenue
Gross Profit
Sales and Administration
Operating Profit
General Expense
Net Income
Balance Sheet items
Cash
Other Current Assets
Accounts Receivable
Fixed Assets
Accounts Payable
Debt
Equity
Free Cash Flow

43. What is your estimated pre-money valuation?
IPOSaleI don’t knowOther
This FundingCompass™ form and text included are the property of Metropole Capital Group. The use of writings or materials included herein, in whole or part, for any purpose, including, but not limited to, saving, reproduction, copying, storage, manipulation, digital or otherwise, is expressly prohibited.
Should be Empty: