How likely are you to finish this questionnaire? *

• 100% likely, this is very important
• Highly Likely
• Moderately Likely
• Not Likely

Name *

Email *

Company Name *

Website / URL

How much funding is required for your business? *

• less than $100K
• $100k-$250K
• $250k-$500K
• $500k-$1M
• $1M-$3M
• $3M+

Which best describes your business? *

• Business-to-consumer (B2C)
• Business-to-Business (B2B)
• Consumer-to-consumer (C2C)
• Consumer-to-Business (C2B)

Can you clearly describe your target audience/market? *

• Yes, we have identified several target markets and buyers
• Yes, we have a single and defined target audience
• No

Number of Employees *

• Only you
• 1-3
• 3-5
• 5-10
• 10-30
• 30-100
• 100+

Is this a Billion dollar business? *

• Yes
• No
• Maybe

How likely are you to succeed in raising capital / getting funding on the Backers Platform? *

• No Chance
• Not Likely
• 50/50
• Very Likely
• Highly Likely
• Guaranteed

What are your revenue projections for the next 3 years combined *

• less than $1M
• $1M-$3M
• $3M-$10M
• $10M-$30M
• $30M-$100M
• $100M+

What is the estimated value of your business? *

• less than $500k
• $500K-$1M
• $1M-$3M
• $3M-$5M
• $5M-$10M
• $10M-$30M
• $30M+

How many social followers does your business have? *

• zero
• less than 100
• 100-500
• 500-1k
• 1k-3k
• 3k-10k
• 10k-30k
• 30k+

What is your business's monthly marketing budget? *

• zero
• less than $100
• $100-$500
• $500-$1K
• $1K-3K
• $3k-$5k
• $5k-$10k
• $10k+

How many contacts do you have on your email list? *

• zero
• less than 100
• 100-500
• 500-1k
• 1k-3k
• 3k-5k
• 5k-10k
• 10k+

Which statement best describes your current situation *

• Solopreneur
• 1 - 2 Co-founders
• 3+ Co-founders
• Loosely connected group of individuals

Do you have a clearly defined vision? *

• Yes
• No

Please state your vision

Do you have a clearly defined mission? *

• Yes
• No

Please state your mission *

Do you have clearly defined values? *

• Yes
• No

Please state your values

What is your experience in this industry *

• Starting out
• Learning the ropes
• Been around the block
• Seasoned vet
• Highly Skilled
• Expert
• #1 Expert in the field

Are you a people person? *

• Yes
• No
• Depends on the people

If you were an animal what would you be? *

• Dog
• Dolphin
• Monkey
• Horse
• Giraffe
• Goat
• Elephant
• Lion
• Eagle

Do you get stage freight? *

• Yes
• No
• I sometimes get nervous when talking to my cats

If given the opportunity, would you quit? *

• Yes, I'm not even going to finish this!
• No
• Never, this is all I've ever wanted

Which statement best describes you? *

• Extreme Risk Taker
• Calculated Risk Taker
• Risk Adverse
• No Risk, No Reward

How important is company culture to the success of a business? *

• Not very
• Somewhat, everyone loves to party
• Very Underated
• Keep'em happy
• Extremely important

Which best describes you? *

• Always positive
• Glass half full
• Glass half empty
• Optimistic
• Cautiously Optimistic
• Pessimistic

What is your highest level of education *

• School of Hard Knocks
• Non-traditional Learning / Self Study
• Some College/University
• Completed Diploma/Degree
• Masters
• PhD / Doctorate
• MD
• Other

When was the last time you learned something new *

• I don't know
• Yesterday
• Last week
• It's been a while
• To long to remember
• I'm always learning

How often do you change your mind? *

• Never
• Rarely
• Sometimes
• Often
• Constantly

How are your networking skills? *

• How are your networking skills?
• Could be better
• Not good
• Good
• Great
• Excellent
• I'm the best

Are you afraid of failure? *

• Yes
• No
• I never fail
• Depends

Are you open to change? *

• Yes
• No
• Hate it
• It scares me
• Only when necessary

What is your plan B? *

• Get a job / remain employed
• Try something else
• There is no plan B

Have you launched your product/service? *

• Yes
• Yes, but we still need to work out some kinks
• Yes, always be launching
• No, we are waiting till the right time
• No, we are waiting till it is perfect
• No

Do you have a clearly defined Customer Acquisition Strategy *

• No
• Yes
• Working on it

Do you know the Life Time Value of a Customer (LTV)? *

• less than $30
• $30-$100
• $100-$300
• $300-$1k
• $1k-$10k
• $10k-$30k
• $30k+
• Unknown

Do you know your Customer Acquisition Costs (CAC)? *

• Yes
• less than $5
• $5-$10
• $10-$30
• $30-$100
• $100-$300
• $300-$1,000
• $1,000+
• Unknown

Have you validated your product/service in the marketplace? *

• No
• No, but we have a ton of positive feedback from friends and family
• Yes, we have some positive social feedback
• Yes, we have made sales and people love it
• Yes, everyone loves us and we have tons of customers and social proof

Have you failed in a previous business venture *

• No
• I have had several false starts but no real failures
• Yes, only once
• Yes, multiple times

Have you had success in a previous business venture *

• No
• Yes, successfully exited / sold it and made money
• Yes, still operational

How important is your brand? *

• Not important
• Somewhat important
• Extremely important
• I prefer non branded

What is most important to the success of your business *

• You
• The Product/Service
• Your Team
• Solving a problem
• Timing
• Funding
• Luck
• Who you know
• Your plan
• Technology
• Culture
• Other

What is the most important function in a business? *

• Sales
• R&D
• Marketing
• Human Resources
• Accounting & Finance
• Leadership
• Operations

Is your business ready to be funded? *

• Yes
• No
• I'm working on it!

Is your business scalable? *

• Yes
• No
• Infinitely scalable!

Are you ready to take action? *

• Yes
• No
• Put me in coach!

Do you have what it takes to perservere? *

• Yes
• No
• Nothing can stop me!

Describe your business in 3 words or less. *

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