Startup Business Analysis Form

Name *

First

Last

Company Name *

Address

Address Line 1

Address Line 2

City

State

Zip Code

U.S. Phone Number

International Phone Number

Email *

What is your biggest pain point right now?

Note: We understand finances are an issue as a startup company, so please dig deeper when answering this question.

Who is your primary target audience?

Tell us what you know about your primary target audience.

Examples: Typical age, gender, interests, buying habits, income, priorities, lifestyle, etc.

Where is your primary target customer located?

Neighborhood
City wide
State wide
Regional
National
International

How much of your target audience knows about your company, and its services / products?

Only a select few
1%-5%
6%-15%
16%-25%
26%-35%
36%-50%
51%-75%
76%-100%

How many customers do you currently have?

# of customers you have served since starting your company.

How often does your AVERAGE customer repurchase from you?

Examples: One time only, once a day, once a week, once a month, once a year, once every 2 years, etc.

How long does your typical customer remain an ACTIVE customer?

Examples: # of days, # of weeks, # of months, # of years.

How have you marketed your business, products, and/or services? *

What marketing efforts has worked the best to attract new customers? *

How much do you currently spend monthly on marketing and advertising? *

Note: Only include marketing, promotion, and advertising expenses.

What is your most popular product / service offering? *

At what price do you sell your most popular product / service? *

What is your 2nd most popular product / service?

At what price do you sell your most popular product / service?

What is your largest business expense? *

How much are you currently spending annually on your largest business expense? *

What is your 2nd largest business expense? *

How much are you currently spending annually on your 2nd largest business expense? *

Number of Employees *

Note: Include Yourself

Total Annual Employee Compensation *

Note: Including Yourself

Current Annual Company Revenues

What are your projected company revenues over the next 12-months? *

Disclaimer *

I understand Zynergy Ventures, LLC makes no warranties nor guarantees on recommendations made based on the data that is provided in this form. I also understand any recommendations provided by Zynergy Ventures, LLC are only suggestions in which I am responsible for the outcome.

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