OMB Control: XXXX-XXXX
Thank you for taking time to participate in this survey. National Women’s Business Council (NWBC) is the sponsor of this online survey regarding your experiences as a woman business owner. The NWBC is a non-partisan federal advisory council created to serve as an independent source of advice and counsel to the President, Congress, and the U.S. Small Business Administration on economic issues of importance to women business owners. The results of the survey will help NWBC better understand needs and perceptions of women business owners, and the context in which the NWBC can better provide you with relevant programs and resources.
The survey will take approximately 20 minutes to complete. All the information you provide will be kept private to the extent provided by law. No individual responses will be shared with NWBC or Small Business Administration. All findings will be presented as an aggregate across many respondents. Your participation in this survey is voluntary and a reply is not required. You may skip any question you do not wish to answer.
Survey Prototype
Incubator Manager
[Note] Text written within brackets, italicized, and on a gray background is intended as editorial text to describe interactive elements of the survey (i.e. value entry fields, pull-down menus, branching points, etc.) or placeholders to be replaced by the content described.
Before you begin, be aware that several questions on this survey ask about “women-owned or women-led businesses”. Women-owned businesses are defined as businesses where women own 51% or more of the equity, interest, or stock of the business. Women-led businesses are defined as businesses where women make up at least 30% of the senior management positions such as President, Chair, CEO, CIO, COO, etc.
Section 1: Business Model
1.1 Would you classify your organization as an incubator or an accelerator?
Incubator
Accelerator
Both an incubator and an accelerator
Neither an incubator nor an accelerator
If 1.1 = 1, 2, or 3 |
If 1.1 = 4 |
[skip] |
1.1A Please enter a very brief definition of your organization’s business model. [text entry field] |
1.2 Is your organization based on a not-for-profit model?
No
Yes
1.3 Is your organization sponsored by any state or local governments?
No
Yes
1.4 Is your organization sponsored by the federal government?
No
Yes
1.5 Is your organization sponsored by or associated with a university?
No
Yes
1.6 In what year did your organization begin operations?
No
Yes
1.7 What is the zip code of your organization's headquarters or primary business location?
[zip code]
1.8 Does your organization operate or conduct programming in multiple locations?
No
Yes
If 1.8 = “No” |
If 1.8 = “Yes” |
[skip] |
1.8A Please enter the zip code of all locations in the United States where your organization has operated or conducted programming in the past 12 months. [zip code 1] [zip code 2] [etc.] |
1.9 Which of the programs from the following list does your organization offer? (Please select all that apply.)
A long-term residency program for startup businesses
A short-term residency program for startup businesses
A long-term non-residency program for startup businesses
A short-term non-residency program for startup businesses
Other
Repeat for each selection of options 1 through 4 in 1.9 |
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1.9A Is there a fee required to participate in this program?
1.9C Does your organization provide participants with any funding as part of this program?
1.9E Does your organization provide working space for companies involved in this program?
1.9F Does your organization take an equity stake in firms that participate in this program?
1.9G What is the maximum duration for companies to participate in this program? (Please estimate to the nearest whole week.) [number] weeks
1.9H What is the average duration of participation for companies in this program? (Please estimate to the nearest whole week.) [number] weeks
1.9I Which, if any, of the following business services do you provide clients in this program? (Check all that apply.)
|
If option 5 is selected as an answer for 1.9 |
1.9J In the space provided, please briefly describe any other programs your organization offers. [text entry field] |
Section 2: Selection Criteria
2.1 Does your organization have a specific preference for startups in any of the following industrial sectors? (Please select one or more answers.)
No industry preferences
Agriculture, Forestry, Fishing and Hunting
Mining, Quarrying, and Oil and Gas Extraction
Utilities
Construction
Manufacturing
Wholesale Trade
Retail Trade
Transportation and Warehousing
Information
Finance and Insurance
Real Estate and Rental Leasing
Professional, Scientific, and Technical Services
Management of Companies and Enterprises
Administrative and Support and Waste Management
Educational Services
Health Care and Social Assistance
Arts, Entertainment, and Recreation
Accommodation and Food Services
Other Services (except Public Administration)
Public Administration
Other
2.2 Does your organization accept applications from startups outside of the industries you selected in Question 2.1?
No
Yes
2.3 Does your organization define itself as a technology-focused incubator?
No
Yes
2.4 Does your organization have specific preferences for any of the following special classes of entrepreneurs? (Please select one or more answers.)
Micro-entrepreneurs
College/university students
Low Income
Women
African Americans
Hispanics
Social Entrepreneurs
Native Americans
Youth
None of the above
2.5 Does your organization have a written policy regarding your selection criteria?
No
Yes
If 2.5 = “No” |
If 2.5 = “Yes” |
[skip] |
2.5A In the space provided, please copy and paste your selection criteria policy. [text entry field] |
For the next set of questions, rank the importance of each factor in selecting a company for your programs on a scale of 1 to 5, with 5 being most important.
2.6 The cultural fit of the company applying.
|
1
|
2 |
3 |
4 |
5 |
2.7 The diversity of companies represented among our clients.
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1 |
2 |
3 |
4 |
5 |
2.8 The potential for success of the company applying.
|
1 |
2 |
3 |
4 |
5 |
2.9 The intellectual property possessed by the company applying.
|
1 |
2 |
3 |
4 |
5 |
2.10 The potential for rapid growth for the company applying.
|
1 |
2 |
3 |
4 |
5 |
2.11 The amount of capital or investment interest already possessed by the company applying. |
1 |
2 |
3 |
4 |
5 |
Section 3: Institutional Culture
3.1 Does your organization explicitly have a mission statement written out?
No
Yes
If 3.1 = “No” |
If 3.1 = “Yes” |
[skip] |
3.1A In the space provided, please copy and paste your mission statement. [text entry field] |
For the next set of questions, rank the importance of the following goal on a scale of 1 to 5, with 5 being most important
3.2 Fostering an entrepreneurial culture.
|
1 |
2 |
3 |
4 |
5 |
3.3 Creating jobs.
|
1 |
2 |
3 |
4 |
5 |
3.4 Building or accelerating the growth of a new business or industry.
|
1 |
2 |
3 |
4 |
5 |
3.5 Retaining and/or attracting firms to the region.
|
1 |
2 |
3 |
4 |
5 |
3.6 Diversifying the local or regional economy.
|
1 |
2 |
3 |
4 |
5 |
3.7 Commercializing new technologies.
|
1 |
2 |
3 |
4 |
5 |
3.8 Identifying spin on/spin off businesses.
|
1 |
2 |
3 |
4 |
5 |
3.9 Generating net income for the sponsor(s).
|
1 |
2 |
3 |
4 |
5 |
3.10 Encourage minority entrepreneurs.
|
1 |
2 |
3 |
4 |
5 |
3.11 Encourage women entrepreneurs.
|
1 |
2 |
3 |
4 |
5 |
3.12 Generating complementary benefits.
|
1 |
2 |
3 |
4 |
5 |
3.13 Revitalizing a distressed neighborhood.
|
1 |
2 |
3 |
4 |
5 |
3.14 Moving people from welfare to work.
|
1 |
2 |
3 |
4 |
5 |
3.15 Generating new manufacturing jobs.
|
1 |
2 |
3 |
4 |
5 |
3.16 Other goals not captured by the categories outlined above. |
1 |
2 |
3 |
4 |
5 |
3.17 In the event a client is not meeting program goals or milestones, do you discuss the alternatives to incubation or acceleration programs?
No
Yes
3.18 Do you regularly evaluate your service providers?
No
Yes
3.19 Do you regularly evaluate the effectiveness of your programs?
No
Yes
3.20 Do you establish milestones for your clients and conduct follow-ups?
No
Yes
3.21 Does your organization have a written marketing plan?
No
Yes
3.22 How often do you review your organization's budget?
Quarterly
Monthly
More frequently than monthly
Irregularly or less frequently than monthly
3.23 Do you discuss exit and graduation strategies regularly with your clients?
No
Yes
3.24 To the best of your knowledge, how many people sit on your advisory board in total?
[number] members
3.25 To the best of your knowledge, how many women sit on your advisory board?
[number] members
3.26 Of the following categories, which are represented by members of your advisory board? (Please select all that apply.)
Experienced entrepreneur
Local economic development official
Finance community
Corporate executive
University official
Accountant
Business attorney
Chamber of Commerce
Incubator manager
Local government official
Marketing expert
Tech transfer specialist
Graduate firm
Real estate (manager/developer)
State economic development official
Patent attorney
State government official
Federal economic development official
None of the above
3.27 To the best of your knowledge, how many people are employed by your organization in total?
[number] people
3.28 To the best of your knowledge, how many women are employed by your organization?
[number] people
Section 4: Investors & Funding
4.1 How many sponsors does your organization have?
[number] sponsors
4.2 To the best of your knowledge, of your sponsor companies, how many of those companies are women-owned or women-led?
[number] sponsors
4.3 Does your organization have close relationships with specific angel investors?
No
Yes
If 4.3 = “No” |
If 4.3 = “Yes” |
[skip] |
4.3A Of your angel investors, how many are women? [number] angel investors |
4.4 Does your firm have an in-house venture fund?
No
Yes
4.5 Does your firm have a close relationship with any outside venture capital firms?
No
Yes
If 4.5 = “No” |
If 4.5 = “Yes” |
[skip] |
4.5A How many venture capital firms do you work with regularly? [number] firms
4.5B To the best of your knowledge, of the outside venture capital firms you work with, how many have a woman as an owner or partner? [number] firms |
Section 5: Performance Indicators
5.1 Does your organization maintain statistical data on the applications you receive?
No
Yes
If 5.1 = “No” |
If 5.1 = “Yes” |
[skip] |
5.1A For how many years has your organization collected data on firms that have applied for one of your programs? [number] years
5.1B How many applications did you receive for your most recent program application cycle? [number] applications
5.1C How many applications from women-owned or women-led businesses did you receive for your most recent program application cycle? [number] applications
5.1D How many companies did you accept for your most recent program cycle? [number] companies
5.1E How many applications from women-owned or women-led businesses did you accept for your most recent program cycle? [number] companies |
5.2 Does your organization collect data on firms that have completed one of your programs?
No
Yes
If 5.2 = “No” |
If 5.2 = “Yes” |
[skip] |
5.2A For how many years has your organization collected data on firms that have completed one of your programs? [number] years
5.2B For how many years after completion do you collect outcome data? [number] years
5.2C For your most recent program cycle, how many companies completed the program? [number] companies
5.2D For your most recent program cycle, how many women-owned or women-led companies completed the program? [number] companies
5.2E How many companies have completed your program since you started offering your services? [number] companies
5.2F How many women-owned or women-led companies have completed your program since you started offering your services? [number] companies |
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Matthew Tranquada |
File Modified | 0000-00-00 |
File Created | 2021-01-25 |