Wufoo
Business Growth Experts Demographic Form
Name
*
First
Last
Phone Number
*
###
-
###
-
####
Email
*
In which industry is your business?
*
Accounting
Advertising
Aerospace / Aviation / Automotive
Agriculture / Forestry / Fishing
Biotechnology
Business Services (Hotels, Lodging Places)
Computers (Hardware, Software, Internet)
Construction / Home Improvement
Consulting
Education
Engineering / Architecture
Entertainment / Recreation
Finance / Banking / Insurance
Food Service
Government / Military
Healthcare / Medical
Internet / Web 2.0
Legal
Manufacturing
Marketing / Market Research / Public Relations
Media / Printing / Publishing
Mining
Non-Profit
Pharmaceutical / Chemical
Research / Science
Real Estate
Retail
Telecommunications
Utilities
Wholesale
Transportation / Distribution
Utilities (Electric, Gas, Sanitary Services)
Business / Professional Services
Professional Services - Other
Other
Don't work
Which of the following most accurately describes your occupational title in your company / organization?
*
CEO / President / Owner / General Manager / Partner
Vice President / Assistant Vice President
CFO / Treasurer / Controller
Director / Assistant Director / Department Head
Manager / Assistant Manager
Professional (salaried)
Technical (hourly)
Small Business Owner
Clerical / Administrative Support
Doctor / Physician
Developer / Programmer
Lawyer
Sales Representative
Customer Service
Supervisor
Educator
Staff
Other
Don't work
Dose your company have a Website
*
Yes
No
How long has your company been in business
*
Between 6 monts to 1 year
Between 1 to 3 years
Between 3 to 5 years
Between 5 to 10 years
More than 10 years
How many total employees are in your company?
*
Under 10
10 to 20
20 to 50
50 to 100
100 to 150
150 Plus
What are the annual revenues of your company / organization?
*
Under $10,000
$10,000 to $50,000
$50,000 to $100,000
$100,000 to $500,000
$500,000 to $1 Million
$1 Million to $10 Million
Don't know
Prefer not to answer
What is your Expectations of having a Mobile App?
*
Do Not Fill This Out
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