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PROSPECTIVE
BUSINESS CLIENT QUESTIONNAIRE |
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Please fill out the Business Client Questionaire below: |
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Applicant Personal Data: |
| Full Name including middle Initial * | |
| Full Address including Zip Code * |
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| Home Phone * | |
| FAX | |
| Work Phone * | |
| Pager Number | |
| Cell Phone | |
| Email * | |
| Other Information |
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Business Data | |
| Business Name | |
| Type of Business | |
| Business Address |
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| Primary Banking Officer | |
| Bank | |
| Primary Legal Counsel | |
| Law Firm of Counsel | |
| How long have you been in business? | |
| Do you have a Board of Directors? | Yes No |
| If Yes... How many are
"Outside Directors"? |
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| Are you profitable? | Yes No |
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If No... How do you plan on covering operations and
cashflow? | |
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Service Related Questions: |
| Why are you contacting us? |
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| What do you expect of your accountant? |
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| What
are your current "Pains" (i.e. Business Problems)? |
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| Do you have a current Accounting Firm? | Yes No |
| If yes... What DON'T you like about dealing with your current accounting firm? |
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| If yes... What DO you like about dealing with your current accounting firm? |
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On
a scale of 1 to 5 where "1" equals "poor" and "5" equals "superior"...
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| ...how would you rate the Overall Vision, Mission, Strategy of your company? | |
| ...how
would you rate the Finances, Cash Flow, Banking of your company? | |
| ...how would you rate the Sales & Marketing of your company? | |
| ...how would you rate the Administration of your company? | |
| ...how would you rate the Leadership of your company? | |
| ...how would you rate the Inter-departmental Cooperation of your company? | |
| ...how would you rate the Succession Planning or Exit Strategy of your company? | |
| Who are your most influential advisors and how frequently do you contact them for advice? |
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| What keeps you awake at night about your business? |
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| What would you say are the three most important issues currently impacting the performance of your company? |
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| If price was not an issue, what role would you want us to play in your business? |
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| What Evidence do you need to see in the next 6 months to determine whether you have made the right decision by hiring us? |
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| What is your annual advisor budget? | |
| How did you learn of us? | |
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