Westchester Client Survey

We want to know how you're doing, no matter what phase of your business you're in! This update refers to the period of March 2019 - May 2019. Information for May 2019 can be projected estimates since the month has not yet ended.

Name*
First Last
Phone*
Company Name
Your Current Employment Status*
What is the current status of your business?*
IF Started a business, date business was formed*
Income Generated by the Business is:*
What was the Gross Income Generated by the Business between May 1, 2018, and May 1, 2019? If none put "0"*
The Number of Full-Time Employees on Staff. DO NOT INCLUDE OWNER. If none put "0"*
The Number of Part-Time Employees on Staff. DO NOT INCLUDE OWNER. If none put "0"*
The Business Facility is*
Did You Receive Funding from either: family, friend, investor, crowd funding, bank, credit union, etc since you first started working with WEDC or since you last completed a survey?*
Loan Information*
Date of Loan Financial Institution/Funder Name Loan Amount Purpose/Use of Funding
Was the funding an SBA loan?*
Did you receive a government contract in the last 3 months?*
Contract Information*
Date Agency or Authority Amount
Your NYS Minority/Women Business Enterprise (MWBE) Certification Status. Overview of criteria http://esd.ny.gov/MWBE/Qualifications.html
What subjects would you like to learn more about? Also please give us a brief update on your business. Have you pitched an idea to a potential client, developed a new product, received any awards, etc.?

WEDC Westchester

WEDC Mid-Hudson

Date of Loan	Financial Institution/Funder Name	Loan Amount	Purpose/Use of Funding

Date	Agency or Authority	Amount