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A. General Information

Instructions

Answer questions as they relate to you. For most answers, check the boxes most applicable to you or fill in the blanks.


Business Structure


1.

Is this a minority-owned business?

Yes

No

Don't Know


2.

Is this a woman-owned business?

Yes

No


3.

Which of the following best describes your business? (mark all that apply)

(Select all that apply.)

Locally owned and operated

Regional chain

National chain

Franchise


4.

If the business is locally owned and operated, check all the following that apply.

(Select all that apply.)

Cooperative

Family business

Sole proprietorship

Partnership

For-profit corporation

Non-profit corporation


5.

How is your firm structured?

Corporation (public)

Corporation (closely held)

Partnership

Sole proprietorship

Other (specify)_____________


6.

How is this business structured?

Single unit business

Headquarters of multi unit firm

Branch plant of multi unit firm


7.

If this is a branch plant, where is the main office of your company?

Elsewhere in this county

In another county in Minnesota

Outside Minnesota, in the U.S.

Outside the U.S.


8.

How is this business structured?

Single unit business

Headquarters of multi unit firm

Branch store, franchise or office of multi unit firm


9.

If this is a branch store, franchise, or office of a multi unit firm, where is the main office of your company?

Elsewhere in this county

In another county in Minnesota

Outside Minnesota, in the U.S.

Outside the U.S.


10.

Do you own or lease this location?

Own

Lease


11.

If you currently lease, when does the lease expire?


12.

In which of the following areas is this business located?

Area 1

Area 2

Area 3

Area 4

Area 5


13.

In which city or town is your business located? If your business is not located with a city or town’s limits, which city or town is it near?

(Provide up to three responses.)


14.

What year was this business established at this location?


15.

In the past five years, did this business change locations?

Yes

No

Don't know


16.

In the past five years, did this business change ownership?

Yes

No

Don't know


17.

What is your position with this business?

(Select all that apply.)

Owner

Chief Executive Officer or President

Manager

Personnel Officer

Other:


18.

If respondent is not the owner, does the owner of this business live in COMMUNITY?

Yes

No


19.

Please indicate your place of residence.

Area 1

Area 2

Area 3

Area 4

Area 5


Products/Services


20.

Do you believe your products/services have unique qualities that give your business a competitive advantage?

Yes

No

Don't Know


21.

If yes, please describe these unique qualities.


22.

Which of the following industries describe your business?

(Select all that apply.)

Agriculture

Mining

Construction

Manufacturing

Transportation and public utilities

Wholesale trade

Retail trade

Finance, insurance, real estate

Services

Education

Other:


23.

If you know your North American Industry Classification System (NAICS) Code, please provide it.


What are the major products or services offered by this establishment?


24.

First major product or service


25.

Second major product or service


26.

Third major product or service


27.

Fourth major product or service


What percentage of your sales comes from each of the major products or services identified above?

 

1% to 24%

25% to 49%

50% to 74%

75% to 100%

28.

Percent of sales: first major product or service

29.

Percent of sales: second major product or service

30.

Percent of sales: third major product or service

31.

Percent of sales: fourth major product or service


Major products or services -- closed ended


32.

What are the major products or services provided at this establishment?

(Hold down the CTRL key and select all that apply.)


33.

What are the major products or services produced at this establishment?

(Hold down the CTRL key and select all that apply.)


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