Your Business Name
How many years have you been in business?
Not yet open
1-3
3-5
5-8
8-10
10+
What do you enjoy most about being in business?
What products/services are your best sellers?
What products/services are your worst sellers?
Why do customers come to you?
Are there any misconceptions about your business?
What is your annual gross revenue (not required)
Under $100,000
$100,000-$250,000
$250,000-$500,000
$500,000-$750,000
$750,000-$1,000,000
$1,000,000+
Demographics/Target Market
What percentage of your business is female
None
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
What is the average age of your customer?
Under 18
18-24
25-34
35-44
45-54
55-64
65 or Above
Prefer Not to Answer
What is the average income of your customer
Describe who your ideal customer is
What percentage of your gross revenue is dedicated to your marketing budget
NA
<1%
1%-3%
3%-5%
5%-8%
8%-10%
10%-20%
20%+
Approximately what is your annual marketing budget
NA
<$15,000
$15,000-$30,000
$30,000-$50,000
$50,000-$100,000
$100,000+
How does this budget compare to last year?
How does this budget compare to two years ago?
Which describes you best
What do you consider as your "Unique Selling Position" (What is your niche?)
Which of the following advertising vehicles have you used in the last 12 months? Please check all that apply?
Which medium(s) do you feel work best for your business
What medium are you considering using within the next 3 months?
What are your busiest dates of the year? What makes them special?
How much do you spend monthly in Television
NA
<$500
$500-$1,000
$1,000-$3,000
$3,000-$5000
$5,000-$10,000
$10,000+
How much do you spend monthly in Cable
NA
<$500
$500-$1,000
$1,000-$3,000
$3,000-$5000
$5,000-$10,000
$10,000+
How much do you spend monthly in Radio
NA
<$500
$500-$1,000
$1,000-$3,000
$3,000-$5000
$5,000-$10,000
$10,000+
How much do you spend monthly in Magazines
NA
<$500
$500-$1,000
$1,000-$3,000
$3,000-$5000
$5,000-$10,000
$10,000+
How much do you spend monthly in Newspaper
NA
<$500
$500-$1,000
$1,000-$3,000
$3,000-$5000
$5,000-$10,000
$10,000+
How much do you spend monthly in Online Advertising
NA
<$500
$500-$1,000
$1,000-$3,000
$3,000-$5000
$5,000-$10,000
$10,000+
How much do you spend monthly in Direct Mail
NA
<$500
$500-$1,000
$1,000-$3,000
$3,000-$5000
$5,000-$10,000
$10,000+
How much do you spend monthly in Yellow Pages
NA
<$500
$500-$1,000
$1,000-$3,000
$3,000-$5000
$5,000-$10,000
$10,000+
How much do you spend monthly in Billboards
NA
<$500
$500-$1,000
$1,000-$3,000
$3,000-$5000
$5,000-$10,000
$10,000+
Please rate your level of agreement with the following statements. *
Do you utilize co-op dollars?
Compared to your competition how is your website
How often do your check your competition's website(s)
Who is your biggest competition
Why do people shop there?
What is their primary competitive advantage (if any)
Do you anticipate any changes competitively in the near future
New competition/Businesses closing/Market Forces
Please rate your level of agreement with the following statements. *
Contact Info
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Your Name
Prefix First Last Suffix
Email
Phone
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