Please indicate what mentoring session & date you are submitting this questionnaire for (Mentor Zone at BSC Oct. 20, etc.).

Your Name, Email & Phone

Your Business Name with YR Started or Plan to Start

What the Business Sells & to Whom (Business To Business, Consumer, Government, Non-Profit) with Price or Projected Price

Your Social Media Addresses/Links/Website

Have you owned a business before?

Have you had sales? If yes, put amount in "Other"

Your Greatest Strength

Your Greatest Weakness

Which ONE of the following is your long term goal?

Describe your top priority for each of these goals in five words or less; A) Short Term B) Long Term C) At this session D) Working with a mentor

Do you have knowledge of the industry your business is in? If yes, add expertise level. in "Other"

Do you know what your best customers want from your product/service? Describe in 5 words in "Other" field

Do you know the potential profitability of your product/service? Add Level - high, low, etc. in "Other" field

Have you decided the level of desired profit for the business in 12 months? What is it? (Add in "Other" field)

Do you have knowledge about the competition for your product/service? Who is it? Add name in "Other" field

Describe the biggest threat to your success.

Do you know the true costs to deliver your product/service? What is it? Add Cost in "Other" field.

Do you have up-to-date financials?

Do you have up-to-date projections?

How many employees are required to deliver your product/service now?

How many employees are required to deliver your product/service when it is successful?

Have you had a mentor before?

If yes, was it worthwhile?

I am looking for a mentor who… (Choose 5)

I am willing to pay for business services