Small Group - Initial Survey Step 1 of 5 - Your Information 0% Your InformationDate MM slash DD slash YYYY Name* First Last Email* Business Phone*Cell Phone*Your Position* Business Owner Business Partner Non-Owner CEO or President Head of Business Operations Head of Marketing Employee - Other Business InformationBusiness Name* Business Address* Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Business Website Facebook URL LinkedIn URL CONNECT WITH US: https://www.facebook.com/groups/buylocalcypressBusiness Type*Select all that apply. Accountant – CPA Advertising – Magazine Advertising – Newspaper Advertising – Media Advertising Specialties – Products Apartment Locator Air Conditioning / Heating Service Appliance – Sales Appliance – Service Architect Attorney – Business Attorney – Estate Attorney – Family Practice Attorney – Environmental Attorney – Personal Injury Auto Body Shop Auto Leasing Auto Repair Auto Sales Audio Visual Sales Audio Visual Services Banker – Business Banker – Consumer Banker – Mortgage Book - Cover Design Book - Editor Book - Publicist Book - Publisher Book - Writer Bookkeeping Services Brand Specialist Builder – Commercial Builder – Residential Business Broker Business Consultant Business Planning / Design Carpet – Cleaning Carpet – Sales Caterer Cell Phones Chiropractor Church Staff Coach – Athletic Coach – Business Coach – Life Clergy or Pastoral Services Clothing Sales Computer Networks Computer Sales Computer Services Computer Supplies Computer Software Computer Training Concierge Cosmetics – Skin Care Courier Service Dentist Desk Top Publishing Direct Mail Services Doctor or Dentist Dry Cleaning – Laundry Services Editorial Services - Editor Educational Tutoring Educator or Teacher Electrician Electronics Energy Services Event Planner Financial Adviser / Planner Firefighter - Professional Firefighter - Volunteer Flooring / Carpet Sales Florist Food and Beverage Furniture – Home Furniture – Office Funeral Services General Contractor – Residential General Contractor – Commercial Gift Baskets Graphic Design Handyman/woman Health Club Health and Wellness Products Home Inspector Human Resources – Outsourcing Insurance – Commercial Insurance – Health Insurance – Life Insurance – Property and Casualty Insurance – Supplemental Internet Services Interior Design Janitorial Services Jeweler Kitchen Products Hotel / Motel Human Resource Services Lawn Maintenance Landscaper Leasing Agent - Personal Leasing Agent - Business Legal Services Plans Locksmith Mailing / Postal Service Marketing Services Massage Therapist Meeting Planner Merchant Services – Credit Cards Motivational Speaker Moving and Storage Non-Profit Organization Nurse Office - Cleaning Office - Supplies Office - Equipment Optometrist Orthodontist Painter Payroll Services Personal Trainer Personnel – Permanent Personnel – Temporary Personal Chef Pest Control Services Photo Copying Services Photographer Physician – General Practice Physician – Various Specialties Printer – Ink Cartridges Physical Therapist Plumber Printing Services Pest Control Pool Sales Pool Maintenance Police Officer or Law Enforcement Promotional Products Property Management Psychologist / Psychiatrist Public Relations Real Estate - Appraiser Real Estate – Commercial Real Estate – Residential Recruiter - Commission Sales Recruiter - Employee Staffing Recruiter - Skilled / Technical Restaurant Resume Services Retired Roofer Sales Trainer Salon / Spa Security Systems Signage Skin Care / Cosmetics Spas – Hot Tubs Stay at Home Parent Storage Facility Tax Preparation / Services Telephone – Cell Phones Telephone – Equipment Telephone Services Title Company Transportation Services Travel Agent Unemployed Veterinarian Web - Blogging Web - Design Web - Hosting Window Treatments Water and Air Purification Other Business Owner Other Employee Participant SurveyHave you participated on an introductory call?* Yes No Who hosted your call?* SURVEY GUIDE For the questions or statements below, select the best answer from the choices available. The effectiveness of the meeting.* Exceeded My Expectations Met My Expectations No Comment Did Not Meet My Expectations Was a Waist of Time The material and topics discussed.* Exceeded My Expectations Met My Expectations No Comment Did Not Meet My Expectations Was a Waist of Time The group dynamic.*How well the group interacted with one another. Exceeded My Expectations Met My Expectations No Comment Did Not Meet My Expectations Was a Waist of Time Your comments about your overall satisfaction of the meeting.Give praise and/or suggestions for improvement below. Future MeetingsAre you interested in participating in future meetings?* Yes No Maybe How long should future meetings last?*15 minutes30 minutes45 minutes1 hour1 hour or moreHow often should we meet online?*Once a weekEvery other weekOnce a monthOnce a quarterWould you be interested in occassionally attending longer workshops in the local area?*These workshops would be held locally and usually last 1/2 to a full day. The group would have to contribute to pay for the meal, possible materials and location (unless we find a free facility). No Yes Maybe Possible Meeting LocationIf you know of a location where we could meet up in the Cypress area, please provide information below. From the topics below, select all that you would be interested in discussing.* Self-Motivation Time Management Marketing Systems Referral Programs Social Media Lead Development Client Retention Cross Selling Balancing Life and Business Managing Finances Quality Control Systems Exceeding Client Expectations Recruiting Staff Motivating Employees Knowing When to Terminate Employees Handling Employee Conflict Running a Better Business Using Technology Business Branding Documenting Systems and Procedures From the topics below, select the ones you consider to be a priority or urgent (order of most important).*Importance based on priority or need to you at this moment.Self-MotivationSTAFF MotivationSTAFF Performance ManagementHandling Employee ConflictSystems Development - TechnologyLead GenerationFinance and BudgetingClient RetentionBusiness BrandingBalancing Life and BusinessRecruiting New StaffRunning a Better BusinessOther topics of interest.If you have any other topics you would like to discuss, please indicate below. Possible business owner participants.If you would like to tell another member of our community about these meetings, please add to the list below. Once submitted, an email from you will go out with information about the group and how to participate. All replies/questions will be directed back to your email.Business Owner Name First Last Business Owner Email Business Owner Name First Last Business Owner Email Business Owner Name First Last Business Owner Email
