Pacc Economic Development Business Needs Assessment Survey
ADVERTISEMENT
1
2
3
4The Parkside Empire
Flatbush Avenue
Economic Development
Merchants Association
Business Needs Assessment Survey
*Disclaimer: This survey is confidential. Pratt Area Community Council (PACC) Economic Development team will have
exclusive access to this survey. This survey will provide our Economic Development team with data to provide the
merchants with beneficial business resources and services.
Business Name: ______________________________________________________________________________________
Business owners Name: _______________________________________________________________________________
Business Address: ____________________________________________________________________________________
City: __________________________________________________ State: ____________________ Zip: ________________
Mailing Address: (if different from business address) ________________________________________________________
City: __________________________________________________ State: ____________________ Zip: ________________
Telephone Number: (
) _________________________________ FAX: (
) ___________________________________
Name of Respondent: ____________________________________ Title: ________________________________________
Year business was started: __________
What type of business do you have:
Service
Retail
Restaurant
Other?
(Please describe) _____________________________________________________________________________________
What is the legal structure of your business? (Please check one):
Sole Proprietorship
C- Corp
S-Corp
Partnership
Limited Partnership
Limited Liability Company
B Corp
Non-profit
Business Capacity:
Do you
own or
rent or
sublet your space? How long is the current lease? _________Years ________ Months
Approximate size of your facilities in square feet: _________sq. ft.
What percent capacity are you using the facilities? ______ 50% _____ 75% ____ 100%
Are you planning on expanding in the next three years? ____ 2014 ____ 2015____ 2016
How much do you pay in rent per month? $_____________
How many people do you currently employ? Part-time _______ Full-time _______
How many employees did you have at the end of 2012? Part-time _______
Full-time _______
Please indicate the range of your gross revenues for 2012:
$0-$50,000
$50,000-$100,000
$100,000-$250,000
$250,000-$500,000
$500,000-$750,000
$750,000-$1,000,000
$1,000,000 +
Did your revenues increase or decrease from prior year?
Increase
Decrease
By approximately what percent? __________%
Current Business Status:
Declining
Holding steady
Increasing
nd
Pratt Area Community Council Economic Development Office 896-900 Fulton Street, 2
floor
Contact: Dale Charles, Director of Economic Development
Phone: (347) 823-5700 x 111
Email:
Website:
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Life