<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
<title>Oklahoma SBDC Pre-Venture Survey</title>
<link href="survey_styles.css" rel="stylesheet" type="text/css"/>
</head>
<body>
<img src="images/OSBDC_logo2sm.jpg" alt="Oklahoma SBDC" style="width: 300px; height: 116px" />
<h2 style="font-family: arial, veranda, tahoma; font-size: 14pt;">Pre-Venture Survey</h2>
<form method="post" action="presurvey.php">
<!--<p>
Please enter your Survey Code: <input type="text" maxlength="2" size="3" name="center" />-<input type="text" name="custID" maxlength="5" size="10" />
</p>-->
<ol>
<li>
<p>Please indicate the year your business was either started or acquired (if never, please indicate by selecting "Not Applicable").<br /><br />
Year Started: <select name="yStart">
<option value="default"> </option>
<option value="2009">2009</option>
<option value="2008">2008</option>
<option value="2007">2007</option>
<option value="2006">2006</option>
<option value="2005">2005</option>
<option value="2004">2004</option>
<option value="2003">2003</option>
<option value="2002">2002</option>
<option value="2001">2001</option>
<option value="2000">2000</option>
<option value="1999">1999</option>
<option value="1998">1998</option>
<option value="1997">1997</option>
<option value="1996">1996</option>
<option value="1995">1995</option>
<option value="1994">1994</option>
<option value="1993">1993</option>
<option value="1992">1992</option>
<option value="1991">1991</option>
<option value="1990">1990</option>
<option value="1989">1989</option>
<option value="1988">1988</option>
<option value="1987">1987</option>
<option value="1986">1986</option>
<option value="1985">1985</option>
<option value="1984">1984</option>
<option value="1983">1983</option>
<option value="1982">1982</option>
<option value="1981">1981</option>
<option value="1980">1980</option>
<option value="Other">Other</option>
<option value="N/A">Not Applicable</option>
</select>
or Year Acquired: <select name="yAcquired">
<option value="default"> </option>
<option value="2009">2009</option>
<option value="2008">2008</option>
<option value="2007">2007</option>
<option value="2006">2006</option>
<option value="2005">2005</option>
<option value="2004">2004</option>
<option value="2003">2003</option>
<option value="2002">2002</option>
<option value="2001">2001</option>
<option value="2000">2000</option>
<option value="1999">1999</option>
<option value="1998">1998</option>
<option value="1997">1997</option>
<option value="1996">1996</option>
<option value="1995">1995</option>
<option value="1994">1994</option>
<option value="1993">1993</option>
<option value="1992">1992</option>
<option value="1991">1991</option>
<option value="1990">1990</option>
<option value="1989">1989</option>
<option value="1988">1988</option>
<option value="1987">1987</option>
<option value="1986">1986</option>
<option value="1985">1985</option>
<option value="1984">1984</option>
<option value="1983">1983</option>
<option value="1982">1982</option>
<option value="1981">1981</option>
<option value="1980">1980</option>
<option value="Other">Other</option>
<option value="N/A">Not Applicable</option>
</select><br />
If other, please specify:
<input type="text" name="yOther" size="8" maxlength="4" />
</p></li>
<li><p>What was the major activity of your business or proposed business in 2007?<br />
<table><tr><td><select name="majAct">
<option value="default"> </option>
<option value="Retail">Retailing</option>
<option value="Services">Services (personal OR professional)</option>
<option value="Wholesale">Wholesale (distribution, etc.)</option>
<option value="Manufacturing">Manufacturing</option>
<option value="Construction">Construction (all general, and other contractors)</option>
<option value="Other">Other</option>
</select></td></tr>
<tr><td>If other, please specify:
<input type="text" name="majActOther" /></td></tr></table>
</p></li>
<li><p>Counting yourself, how many full-time (35 hours or more per week) and part-time (less than 35 hours per week) employees did you have at the end of each of the following years that you were in business.<br /><i>If you were not in business, leave blank or type N/A in the appropriate blank(s).</i><br />
<table><tr><td>2007 <input type="text" name="ft2007" size="10" /> full-time employees, <input type="text" name="pt2007" size="10" /> part-time employees</td></tr>
<tr><td>2008 <input type="text" name="ft2008" size="10" /> full-time employees, <input type="text" name="pt2008" size="10" /> part-time employees</td></tr></table></p></li>
<li><p>Please estimate the number of jobs saved as a result of the assistance received from the SBDC.<br />
<table><tr><td>Existing full-time jobs saved:</td><td><input type="text" name="ftSaved" size="10" /></td></tr>
<tr><td>Existing part-time jobs saved:</td><td><input type="text" name="ptSaved" size="10" /></td></tr></table></p></li>
<li><p>What were your gross sales revenue (before expenses) for the following calendar years?<br /><i>If you were not in business, leave blank or type N/A in the appropriate blank(s).</i><br />
<table><tr><td>2007 $<input type="text" name="gross2007" size="10" /></td></tr>
<tr><td>2008 $<input type="text" name="gross2008" size="10" /></td></tr></table></p></li>
<li><p>Please estimate the amount of gross sales revenues maintained as a result of the SBDC's assistance.<br /><br />
Existing revenues maintained $<input type="text" name="grossMain" size="10" /></p></li>
<li><p>Did the SBDC assist you in obtaining financing?
<select name="assistFin">
<option value="default"> </option>
<option value="Yes">Yes</option>
<option value="No">No</option>
</select></p></li>
<li><p>Please estimate the total amount of debt and equity financing your business raised in 2007 and 2008. <br />
<table>
<tr><td>SBA Loans </td><td>$<input type="text" name="sbaLoans" /></td></tr>
<tr><td>Other Loans/Debt Financing </td><td>$<input type="text" name="otherLoans" /></td></tr>
<tr><td>Equity Raised from Investors </td><td>$<input type="text" name="equityRaised" /></td></tr>
</table></p></li>
</ol>
<h2>How Are We Doing?</h2>
<ol start="9">
<li><p>Was the overall service you received from the Small Business Development Center beneficial?
<select name="servBene">
<option value="default"> </option>
<option value="Yes">Yes</option>
<option value="No">No</option>
</select></p></li></ol>
<table cellpadding="10" border="0" cellspacing="0" style="text-align: center; vertical-align: middle; margin-left: -10px">
<tr><td style="text-align: left"><span style=" margin-left: 13px; font-weight: bold">Please rate your experience with the OSBDC.</span></td><td style="background-color: #BBF4DC">Excellent</td><td style="background-color: #BBF4DC">Above Average</td>
<td style="background-color: #BBF4DC">Average</td><td style="background-color: #BBF4DC">Below Average</td><td style="background-color: #BBF4DC">Poor</td></tr>
<tr><td style="text-align: left"><ol start="10"><li>Knowledge and Expertise of Counselor:</li></ol></td>
<td style="background-color: #E8FDF0"><input type="radio" name="counRating" value="Excellent" /></td>
<td style="background-color: #E8FDF0"><input type="radio" name="counRating" value="Above Average" /></td>
<td style="background-color: #E8FDF0"><input type="radio" name="counRating" value="Average" /></td>
<td style="background-color: #E8FDF0"><input type="radio" name="counRating" value="Below Average" /></td>
<td style="background-color: #E8FDF0"><input type="radio" name="counRating" value="Poor" /></td></tr>
<tr><td style="text-align: left"><ol start="11"><li>Overall Working Relationship with the SBDC counselor:</li></ol></td>
<td style="background-color: #E8FDF0"><input type="radio" name="counRating2" value="Excellent" /></td>
<td style="background-color: #E8FDF0"><input type="radio" name="counRating2" value="Above Average" /></td>
<td style="background-color: #E8FDF0"><input type="radio" name="counRating2" value="Average" /></td>
<td style="background-color: #E8FDF0"><input type="radio" name="counRating2" value="Below Average" /></td>
<td style="background-color: #E8FDF0"><input type="radio" name="counRating2" value="Poor" /></td>
</tr>
</table>
<ol start="12">
<li><p>Woud you recommend that other business persons contact the Small Business Development Center?
<select name="recommend">
<option value="default"> </option>
<option value="Yes">Yes</option>
<option value="No">No</option>
</select></p></li>
<li><p>Was comparable assistance available from a private consultant at a price you could afford?
<select name="compServ">
<option value="default"> </option>
<option value="Yes">Yes</option>
<option value="No">No</option>
<option value="DontKnow">Don't Know</option>
</select></p></li>
<p>Additional Comments or Suggestions:<br />
<textarea name="comments" rows="5" cols="65"></textarea></p>
<p style="text-align: center">
Thank you for taking our survey!<br />
<input type="submit" value="Submit" /> <input type="reset" value="Reset" />
</form>
</body>
</html>