Startup Business Questionnaire

Basic Info:
Name:
Company Title:
Address:
Phone:
Fax:
Email:

What are your funding sources?

Source Type (Loan, Investment, Grant) Amount Amount Requested

How will you use your funds?

Expense Source Amount Amount Needed

What is your target demographic?

Age Range:
Ethnicity:
Education:
Income Tier:
Geographic Location:

What advertisement materials will you use and how much will you spend on each?
Print Advertising TV Advertising $
$
Radio Advertising Internet Advertising $
$
On-Site Advertising Outdoor Advertising $
$
Telemarketing Brochure/Mail
$ $

Who will make up your staff?

Employee Name Title Hours/Week Wage/Salary