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Startup Business Analysis Form
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Step
1
of 5
Name
*
First
Last
Company Name
*
Address
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
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.
Next
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.
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Next
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.
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Next
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?
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Next
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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