Second Test Small Business Questionnaire

Company Legal Name: *

Contact First Name: *

Contact Last Name:

Mailing Address:

City:

State:

Zip Code:

Physical Address:

City:

State:

Zip Code:

E- Mail Address: *

Website Address:

Business Phone: *

Cell Phone:

Forms of Business Organization:

What is your business type:

Number of Employees:

0-55-2020-40Over 40
Full Time
Part Time
1099

What was your annual revenue? *

What is your income goal for this year?

Do you have an effective strategic marketing plan?

Select any of the following that your organization needs help with developing.