PURE HARLEM BLACK BUSINESS SURVEY
This survey is only to determine how we can help your Business make more money
1. What is your date of birth ? MM/DD/YYYY
2. Do you have a Website ?
Yes
No
3. What is your online function ?
Advertising
Speaking
Student
Entrepreneur
Freelancer
Author
Business Expert
Podcaster
Thought Leader
Blogger
Graphic Artist
Web Developer
4. Are you registered with any social network ? Check all that apply that applyl that apply
None
LinkedIn
WeChat
QZone
Tumblr
Instagram
Skype
Viber
Pinterest
Reddit
Foursquare
Mix
MySpace
The Dots
Upstream
MyHeritage
flickr
Meetup
TikTok
spreely
Snapchat
Twitter
5. How did you find this survey ?
Email
Television
Online
Friend
6. Where are you located ? Country, State, City
7. How many employees does your business have ?
1-10
10-30
30-50
50-200
200-1000
1000-5000
5000-10000
10000 or more
8. What are your typical sales each month ?
0-$1,000
$1,000-$5,000
$5,000-$10,000
$10,000-$20,000
Over $20,000
9. How would you best describe your role ?
President/CEO
Vice-President
Director
Manager
Other
10. What industry are you in ?
Art/Design
Association/Non Profit
Author
Business Expert
Coaches
Consulting
Education
Entrepreneur
Energy/Utility
Entertainment
Engineering
Finance/Insurance
Food/Hospitality
Healthcare/Wellness
Human Resources/Staffing
Government
IT/Technology
Legal Services
Logistics/Transportation
Manufacturing/Construction
Marketing/Advertising
Media
Podcaster
Real Estate
Sales
Service Industry
Sports/Recreation
Thought Leader
Travel
11. How many years has your company been in business ?
0-4
5-10
Over 10
12. What obstacles are standing in your way keeping you from reaching your goals ?
13. What does your business need to move forward ?
14. ****We respect your Privacy. Your information will NEVER be sold to others. It will remain inside of our Network to improve your business capabilities and your bottom line. We will not spam, rent, or sell your information.
15. Your Name
16. EMAIL
Contact Details
Name(*)
Email(*)
Phone
Submit
