Business Name
*
First Name
Last Name
Owner(s) Name(s)
*
Email
*
Physical Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Business Phone
*
(###)
###
####
Other Phone
(###)
###
####
Please tell us how COVID-19 is affecting your operation.
*
We are prioritizing businesses that are directly affected by, and responding to, the COVID-19 crisis. If your needs are not related we will still serve you, it's all about timing.
How many years have you been in business?
*
Less than 1
2 - 4
5 - 9
10 - 14
15+
Organization of Business?
*
Proprietorship
Partnership
Incorporated
Co-operative
Location
*
Home Based
Business Location
Number of Owner(s)?
*
Number of Employee(s)?
How many employees are full-time?
How many employees are part-time?
Do you intend to hire more employees?
*
Yes
No
Very soon
Possibly
Do you have a business registration number?
*
Yes
No
Gross sales last year?
*
Less than $30,000
$30,000 - $100,000
$100,000 - $450,000
$450,000 - $1,000,000
$1,000,000 - $1,500,000
$1,500,000 +
Do you have any other business assets?
Does the business have outside financial investors?
*
Yes
No
Does the business have outside financing?
*
This could include loans or equipment leases.
Yes
No
What are the most important area(s) of interest for advisement?
*
Check all that apply.
Bookkeeping
Business Planning
Business Structure / Incorporating
Cash Flow Management
Cost of Goods
Expansion
Financial Advice / Analysis
Grant Application
Human Resources
Import / Export Advice
Inventory Management
Marketing
New Product Development
Policy and Procedure
Preparing for Financing
Pricing
Product / Production Costing
Productivity
Revenue Generation
Risk Management
Sales
Social Media
Strategic Planning
Succession Planning
Technology Assessment
Value Added
Viability Analysis
Briefly describe your business. What you sell, how you operate, where you distribute, etc.
*
What is the main reason that you are contacting us?
*
Is there anything else you would like us to know about your situation that may help us assist you?
36. Written and verbal advice provided by Advisors or a contracted Consultant is given in good faith, based on the information available at the time, but this advice is not guaranteed by the Advisor, Consultant, Haida Gwaii Community Futures. Clients must use their own judgment when considering any advice provided, and implement recommendations at their own discretion.
*
I understand and agree
I do not agree
I require further explanation
Which office are you closest to?
*
Masset
Daajing Giids