SBDC Counseling Feedback Form

Thank you for taking the time to complete this survey.  The information you provide us is strictly confidential and will help the SBDC at RVCC better serve our clients.
*First Name:       
*Last Name:  
Telephone #: *Home:        (e.g. 908-123-4567)
   Business: 
*E-Mail Address:  
Address: *Street 1   
  Street 2 
*City:  
County:
*State:      *Zip Code:  
*Have you opened your Business?     Yes No 
(if yes, please answer the following questions, if no, skip to next section) 
  Business Name:

Business Start Date:
What was the legal formation of your business? 
Sole Proprietor
Partnership
LLC or LLP
'S' Corporation
'C' Corporation

How many full-time employees do you have (including yourself)?  

How many part-time employees do you have?  

What is your current and projected annual gross sales?

  • 2005 Actual      
  • 2006 Actual     
  • 2007 Estimated
Did you apply for a loan to fund your business venture?   Yes No 

     If yes, what is the name of the lending institution?  

     What was the amount of your loan?  
     Was it an SBA loan?   Yes No 

     What was the date of closing?  
     How much have you invested in your venture?
Did you apply for state certification?   Yes No 

If yes, what Type?

SBE (Small Business Registration)
MBE (Minority Business Enterprise)
WBE (Women Business Enterprise)
If you did not apply for certification, would you like to receive information?     Yes No 
Counseling Information:
 
How would you rate the counseling you received from the SBDC at RVCC: 
 Excellent
 Very Good
 Average
 Not satisfied
Do you require any further assistance in: 
Marketing
Business plan review
Financing/Loan Application
International trade
Human Resources
Insurance
Website development
General Counseling

                                   Other  
Have you attended any of these sessions through SBDC (check which ones apply)?
Entrepreneur Certificate Program (ECP)
Self-Employment Assistance (SEA) 
Entrepreneur Training Institute (ETI)
In your opinion, what was the most useful business resource materials/information you obtained that helped you start your business?
Please provide us with any comments you have to help us better service you and future clients:

Thank you again for taking the time to complete this survey. 

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Small Business Development Center
Raritan Valley Community College
P.O. Box 3300
Somerville, NJ 08876
908-526-1200 Ext. 8516
Email: sbdc@raritanval.edu

updated 11/14/06 by AKA