North Street Media

Name *

What is the primary industry of your small business? *

Retail
Food Service
Manufacturing
Technology
Health Care
Other

How many years has your small business been in operation? *

How much do you agree with this statement: It is difficult to find qualified employees for my small business. *

Strongly Disagree
Disagree
Neither Agree nor Disagree
Agree
Strongly Agree

New What is the biggest challenge your small business is currently facing? *

Cash Flow
Competition
Marketing and Advertising
Hiring Skilled Employees
Regulatory Compliance
Access to Capital

Please describe the most significant challenge you've faced in the past year. *

Which of the following financing options have you used for your small business? *

Bank Loan
Credit Cards
Crowdfunding
Angel Investors
Venture Capital
None

Rate your level of satisfaction with your current business banking services. *

Very Dissatisfied
Dissatisfied
Neither Dissatisfied nor Satisfied
Satisfied
Very Satisfied

How do you primarily market your business? *

Social Media
Email Marketing
Print Advertising
Word of mouth
Networking Events
Not Marketing

On a scale from 1 to 10, how would you rate the impact of economic changes on your business in the last year? *

How much do you agree with this statement: Technology has significantly improved the efficiency of my business operations. *

Strongly Disagree
Disagree
Neither Agree nor Disagree
Agree
Strongly Agree

What strategies have you found most effective in overcoming your business challenges? *

Which of the following best describes your role in the business? *

Owner
Partner
Manager
Employee
Consultant

How often do you evaluate your business plan and goals? *

Monthly
Quarterly
Bi-Annually
Annually
Rarely
Never

How confident are you in the long-term success of your small business? *

Not at all Confident
Slightly Confident
Moderately Confident
Very Confident
Extremely Confident

Approximately what percentage of your business is conducted online? *

What kind of support or resources do you wish were more readily available to your small business? *

Budget *

Available Date *

Time preferred *

Morning (9 am to 11 am)
Afternoon (12 pm to 2 pm)
Evening (2 pm to 5 pm)

Email Address *

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