Business Development Questionnaire

*This is only part of the questionnaire.  To fill out the document in its entirety, with full formatting features, please download the file here.*

Please complete this questionnaire as best as you are able. You may use additional sheets of paper,
if necessary.  The last page of this questionnaire contains a list of the KSBDC service centers.  Please send this
completed questionnaire to the office serving the county where your business is or will be located.  After the
questionnaire has been reviewed, you will be contacted to discuss your proposed business venture.
 
Name:_____________________________________ Phone: (___)_______________
Fax: (___)_______________ Email: _______________________________________
Address:___________________________________________ Zip Code:__________
 
I request business management consulting from the Kentucky Small Business Development Center
and the Small Business Administration.  I agree to cooperate should I be selected to participate in surveys
designed to evaluate SBDC and SBA assistance services.  I authorize SBA to furnish relevant information to the
assigned management counselor(s) although I expect that information to be held in strict confidence, to the
extent permitted by applicable law.
I further understand that any counselor(s) has agreed not to: (1) recommend goods or services from
sources in which he/she has an interest, and (2) accept fees or commissions developing from this counseling
relationship.  In consideration of SBDC’s and SBA’s furnishing management or technical assistance, I waive all
claims against SBA personnel, SCORE, SBDC and its host organizations.
 
(Signature of Person Requesting Service)                                                                                          Date
 
Are you aware of the services offered by the Small Business development
Center, which include consulting, training and small business resources?
 
While the SBDC may assist you in receiving loans, we do not offer loans,
guarantees or grants.
 
BACKGROUND INFORMATION

1) How would you classify your business? 
 Start-up business (Pre-venture)    Ongoing business (In Business) 
 Purchase of an existing business
 
How long have you been in business: ____________________
 
How is your business legally organized:
_____  Sole Proprietorship _____  C-Corporation
_____  Partnership  _____  Sub S-Corporation
_____  LLC
 
2) What type of business have you started or you intend to start.
 
 
3) Please list in order of importance your top 3 areas of concern regarding
your project?
1.______________________________    
2.______________________________    
3.______________________________    
 
4) If you are starting a business, have you attended a workshop or seminar
to assist you with your business startup?  An example would be
workshops offered at the SBDC or online.
 Yes    No
 
5) Are you aware of your credit rating?  Do you understand that 100%
 financing is not available?

BUSINESS SKILLS ASSESSMENT

Please indicate below what your status is for each skill

Business Plan: 

Organization     

Inventory

Cash Flow Management

Market Analysis

Competition Analysis

Marketing Plan

Pricing

Customer Service

Sales

Management Organization     

Public Relations
     
Compliance:

Tax     

Regulations

Licensing
     
Other: 

Knowledge of the Industry     

Business Location Analysis   

Managing Customer Credit & Collections     

Obtaining Technical Assistance
     
Legal Issues