Mid-South Minority Business Council "Bridging Partnerships...Maximizing Business Growth" 158 Madison Avenue, Suite 300  .  Memphis, Tennessee 38103  .  (901) 525-6512

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Survey

Name of  Company
Type of Business/Industry
Name of Owner (optional)
Years in Business                             Phone Number
Zip Code                                             Email Address

Your responses will be kept confidential and none of your individual information will be disclosed

1. Where is your business based?
         In your home   Commercial Location
2. Are you a -   (please check one)
   

   Black Male	White Male	Asian Male	Hispanic Male	Native American Male
   Black Female	White Female	Asian Female	Hispanic Female	Native American Female

   
   Please check if you are a -
     Disabled Veteran
3. Do you currently have access to bank financing?
     Yes No
4. Do you have a strategic plan for your business?
     Yes No
5. Gross revenues for 2006 $
6. Number of employees:  Full-Time  Part-Time
7. Please check your top three (3) critical needs areas:
   

   Consulting Assistance	Strategic Planning
   Legal	Financial Advising
   Accounting/Bookkeeping	Bonding & Insurance
   Marketing	Capital

8. Do you or your employees have health insurance?
     Yes No

Thank you for taking the time to participate in our survey.
Your responses will be kept confidential and none of your individual information will be discloed.