Client Info


	In order to better serve our business clients, we ask that you complete the following needs' assessment survey. The data collected will help us continually improve the counseling services and training programs offered by the Center. Your reponses will be kept confidential. Thank you for your time and cooperation.


	1


	Which of the following counseling services provided by the SBDC do you plan to use, now or in the future? (Check all that apply)

Other (Please Specify)


	2


	Do you have a business plan for your project? Yes No


	3


	Will your project require financing? Yes No If yes, approximately how much financing will be required?


	4


	Describe your experience and education in this type of business:


	5


	Please specify convenient meeting days and times for counseling sessions: Mon Tue Wed Thu Fri Times:


	6


	What types of education and training programs would you be interested in attending? (Check all that apply)


	7


	Please specify convenient days and times for education and training programs: Mon Tue Wed Thu Fri Times:


	If you want to clear this form and start over again hit the Reset Button

		Name:


	When you have filled all the required boxes and completed this form "CLICK" on the submit button






	©2008 The Ohio SBDC at Youngstown State University The Ohio SBDC at Youngstown State University One University Plaza • Youngstown, OH 44555 275 Fifth Avenue • Youngstown, OH 44502 Office: 330.941.2140 • Fax:330.941.2144