Dear Client: The Yuba Community College District Small Business Development
Center staff is committed to the success of its' clients. Please help us to
satisfy the requirements of our funding sources by giving us the information
needed to track the success of your business. Take a few minutes to answer
the following questions as they pertain to your business. Be assured that
the information you supply will be held in the strictest confidence. This
information is very important as it allows us to obtain the funding we need
to continue to assist small business owners. If you have any questions or
need any further business assistance, please contact us at (530) 749-0153.
Thank you in advance, for your valuable time and invaluable information.
| Survey |
|
* Client ID: |
|
|
* Client Name: |
|
|
Are you currently in business?
|
Yes
No
If "Yes", date started:
(mm/dd/yyyy)
If "No", do you plan to start or acquire a business?
Yes
No |
|
How many people, including yourself, does
your business employ? |
Full Time Employees:
Part Time Employees:
|
| The following responses need only represent your best estimate.
In you opinion, as a result of the assistance you received from the Yuba
Community College District SBDC, did you: |
|
Increase your revenues? |
Yes
No
If so, by how much $
|
|
Increase your profits? |
Yes
No
If so, by how much $
|
|
Create or retain jobs? |
Yes
No
If so, how many created
How many retained
|
|
Obtain a copyright, trademark or patent? |
Yes
No
If so, which one
|
|
Obtain a Government or Commercial award or
contract? |
Yes
No
If so,
Prime:
Sub-contract:
Agency:
Amount:
|
|
Obtain a loan or other financing? |
Yes
No
If so, check all that apply:
SBA
Commercial Bank Loan
Line of Credit Micro Loan
Equity Investment
State Loan
Private, Non-Institutional
Institution/Funding Source(s) (example: name of bank):
Date Submitted:
Amount Requested: $
Date Approved:
Amount Approved: $
Comments:
|
|
Any Comments? |
|
