Name
Company
Address
City State Zip
Telephone
Fax
Email

Type of Business
1. List your major products/services and prices/fees (or fee range) for each.
2. What types of customers do you now have?
3. Who do you want…more of? less of?
4. How do you get business now? (Check all that apply.)	• Cold Calls • Referrals/Networking • Repeat Business from Old Clients • Yellow Pages • Direct Mail Letters • Advertising Where? • Seminars That Your Customers Attend • Your Sales Force Provides Leads/Customers • Trade Shows • Other
5. Imagine you had an "automatic system" that would get customers to call/visit/write you.	a) Who would those people be? (describe them) b) How would they contact you to let you close the sale the fastest and easiest way possible for you? (check all preferred ways) • phone • visit • fax • email • other
Business Growth Scenarios - choose one or more of these four:
6. Would you like more customers/clients per month paying the same amount most of your customers/clients pay now? • Yes • No
7. Would you like the same number of customers/clients per month paying a higher amount than your typical customer/client pays now? • Yes • No
8. Would you like the same level of business (same average payment size, same number of customers/clients) you have now, but more profit per customer/client? • Yes • No
9. Would you like more of a certain kind of customer/client but not all types of customers/clients? • Yes • No
Current Marketing and Sales Activity
10. Please rank, in order, the sales and marketing activities that take the most time and/or cost the most money each month. Start with the largest-investment sales and/or marketing activity.
11. Which activities are the most effective now in terms of return on investment?
12. How do you know?
13. Which activities are the least effective now in terms of return on investment?
14. How do you know?
15. On a scale of 1 to 10 (1= not ready, 10 = ready right now), how ready are you to invest in a customer-generating marketing system that will lower your marketing costs and increase the growth of your business?

If a question truly does not apply to your business, feel free to skip it.

Thank you for completing this survey. All information included will be considered confidential. Please send by email click here

or print out and fax to: (415) 564-4599, Attn.: David Garfinkel.