RIC OMB ICR - Appendix B-5 Small Business Survey
Did you participate (either in person or virtually) in any business trainings, technical assistance services, and/or matchmaking, networking, or showcasing events or activities in [YEAR]?
Yes
No
If yes to Q1, proceed to Q2.
If no to Q1, proceed to Q4-Q5 and then skip to the thank you page.
Did you participate (either in person or virtually) in any business trainings and/or matchmaking, networking, or showcasing events or activities organized by or connected with {cluster name}?
Yes
No
Did you participate (either in person or virtually) in any one-on-one counseling or technical assistance services or activities organized by or connected with {cluster name}?
Yes
No
If yes to Q2 OR Q3, proceed to Q6 and the full survey.
If no to both Q2 AND Q3, proceed to Q4-Q5 and then skip to Q27.
Based on the administrative records from {cluster name}, you took part in or registered in business trainings, technical assistance services and/or matchmaking, networking, or showcasing events or activities organized by or connected with {cluster name}. If you are unsure, unaware, or don’t recall your attendance in these events or services, we would still like to ask you a few questions that may help {cluster name} and organizations with similar functions tailor their outreach to firms like yours. We greatly appreciate your time and cooperation.
What are the reasons you did not engage or participate in events or activities organized by or connected with {cluster name}? (Select all that apply.)
Don’t have direct ties with {cluster name} or its network
Don’t expect to receive any benefits from cluster participation
Don’t have the time to participate
I sold or closed my business
Don’t remember or did not know it was a “cluster” event or activity
Other, please specify:
What can {cluster name} or an organization with similar functions offer you or your business to improve your engagement with its activities, services, and/or business network?
[text box]
To gather information on the types of firms that are not engaging with the {cluster name} or are unaware of {cluster name} services, we would like to ask you a few questions that may help clusters tailor their message and outreach to organizations like yours. skip ahead to Q27.
Please provide the month and year in which your business began attending events or activities or began receiving services organized by or connected with {cluster name}:
Month: MM
Year: YYYY
Why did your business attend or participate in {cluster name}-organized trainings, events (including networking events), activities, and/or services in [year]? (Select all that apply.)
To access {cluster name} services (e.g., counseling, trainings, events)
To access new domestic or global markets
To network with other small businesses, large businesses, and/or potential clients
To access government procurement opportunities
To integrate into the industry’s supply chain
To obtain new funding
To improve innovation (e.g., develop new products or services)
Other, please specify:
How many times did your business attend (either in person or virtually) {cluster name}-organized or sponsored trainings, and/or matchmaking, networking, or showcasing events or activities in [year]?
[numeric box]
How many times did your business participate (either in person or virtually) in {cluster name}-organized or sponsored one-on-one counseling or technical assistance services in [year]?
[numeric box]
Could you have received the same services or joined in comparable events elsewhere as those provided or organized by {cluster name} (e.g., Small Business Development Centers [SBDCs], chamber of commerce)?
Yes
No
Don't know
Does your business participate in other business-support programs or organizations that are not affiliated with {cluster name} (e.g., SBDCs, chamber of commerce)?
Yes
No
Don’t know
If yes to Q11, proceed to Q12.
If no (or don’t know) to Q11, proceed to Q13.
(IF YES) Which of the following business-support programs or organizations does your business participate in? (Select all that apply.)
Small Business Administration (SBA) programs (e.g., 7(j), 8(a), T.H.R.I.V.E. Emerging Leaders)
Small Business Development Centers
SCORE Association
Women’s Business Centers
Veteran’s Business Outreach Centers
U.S. Export Assistance Center
Procurement Technical Assistance Center
Business, industry, or professional organizations or associations
Chamber of commerce
Federal programs
State or local government programs
Other, please specify:
During [year], did your business achieve any innovations (e.g., develop new products/services, trademarks, licenses, patents)?
Yes
No
If yes to Q13, proceed to Q14-Q15.
If no Q13, proceed to Q16.
[IF YES to Q13] During [year], how many of the following innovations did your business achieve?
New products or services developed: _________
Trademarks or brand registrations obtained: _________
Technologies licensed to others: _________
Technologies obtained licensing rights to: ________
Patents filed: ________
Patents awarded: __________
Other, please specify: ____________
[IF YES to Q13] To what extent did {cluster-name} or {cluster-name}-organized trainings, events (including networking events), activities, and/or services help your business facilitate innovation?
Too early to tell
Not at all
A little
Somewhat
Much
Very much
[(IF Q8>0) How satisfied are you with the trainings or matchmaking, networking, and/or showcasing events or activities provided or organized by {cluster name} in [year]?
Very dissatisfied
Dissatisfied
Unsure
Satisfied
Very satisfied
[(IF Q9>0) How satisfied are you with the one-on-one counseling or technical assistance services provided or organized by {cluster name} in [year]?
Very dissatisfied
Dissatisfied
Unsure
Satisfied
Very satisfied
To what extent did {cluster-name} and/or {cluster name}-organized trainings, events (including networking events), activities, and/or services help your business achieve any of the following benefits?
{cluster-name} and/or {cluster name}-related activities helped my business: |
Too early to tell |
Not at all |
A little |
Somewhat |
Much |
Very much |
N/A |
Increase profit margin |
|
|
|
|
|
|
|
Increase revenue |
|
|
|
|
|
|
|
Increase and/or retain staff |
|
|
|
|
|
|
|
Continue staying in business |
|
|
|
|
|
|
|
Start/open a new business |
|
|
|
|
|
|
|
Improve business management processes and operations |
|
|
|
|
|
|
|
Export products and/or services |
|
|
|
|
|
|
|
Develop or improve collaboration or relationships with other businesses or organizations |
|
|
|
|
|
|
|
Improve participation in industry supply chain |
|
|
|
|
|
|
|
Other, please specify: |
|
|
|
|
|
|
|
In [year], have {cluster name} and/or {cluster name}-organized trainings, events (including networking events), activities, and/or services helped your business establish any new business relationships (e.g., buying/selling goods/services, project collaboration, joint ventures)?
Yes
No
In [year], have {cluster name} and/or {cluster name}-organized trainings, events (including networking events), activities, and/or services helped your business establish any new relationships with the following types of organizations or resources in your community or region?
I was able to establish relationships with: |
How many relationships were formed? |
How many times did your business engage with or receive assistance from these relationships? |
How helpful were these relationships for your business’s operations and/or growth? |
Federal, state, or local government agencies |
|
At least once per:
|
|
Foundations, nonprofits, and nongovernment organizations |
|
At least once per:
|
Very much |
Business organizations, associations, and chambers of commerce |
|
At least once per:
|
|
Large firms, corporations, and companies |
|
At least once per:
|
|
Universities, research centers, and institutes |
|
At least once per:
|
|
Other small business owners, community leaders, and residents that can support my business |
|
At least once per:
|
|
Did your business obtain new financing (e.g., loan, capital, grants) in [year]?
Yes
No
[IF Q21 YES] For each of the following sources of financing, please provide the number of instances and the total dollar amount obtained by your business in [year]. If you do not have exact values, please give your best estimate for each type.
|
Number of instances obtained |
Total amount obtained |
SBA loans (e.g., 7(a), CDC/504, EIDL, PPP) |
|
|
NonSBA loans |
|
|
Venture or angel capital |
|
|
Grants (e.g., SBIR/STTR, competition winnings) |
|
|
Line of credit (excluding credit cards) |
|
|
Other forms of financing (e.g., friends and family, crowdfunding) |
|
|
[IF Q21 YES] To what extent did {cluster name} and/or {cluster name}-organized trainings, events (including networking events), activities, and/or services help your business obtain any new financing?
Too early to tell
Not at all
A little
Somewhat
Much
Very much
In [year], was your business awarded any new prime contracts with, or subcontracts connected with, a government, corporate, or nonprofit entity?
Yes
No
[If Q24 yes] For each of the following entities, please provide the number of contracts or subcontracts and the value obtained by your business during [year]. If you do not have exact values, please give your best estimate for each type.
Entity |
Number of contracts or subcontracts |
Value of contracts or subcontracts (dollars) |
Government (federal, state, or local) |
|
|
Corporate |
|
|
Nonprofit (hospitals, academic institutions, or other organizations) |
|
|
Other, please specify: |
|
|
[IF Q24 YES] To what extent did {cluster name} and/or {cluster name}-organized trainings, events (including networking events), activities, and/or services help your business receive any award of contracts or subcontracts?
Too early to tell
Not at all
A little
Somewhat
Much
Very much
Please indicate your job title. (Select all the apply.)
Owner/Co-owner
Partner
President
Vice President
Founder
C-level executive: Chief Executive Officer, Chief Operating Officer, Chief Financial Officer, etc.
Board Director/Member
Manager/Director
Other, please specify:
Which one of the following options best describes your current business status?
I am not yet in business (Proceed to Q40)
The business was established before I or my team first took part in the cluster
The business was established after I or my team first took part in the cluster
The business has been temporarily closed
The business has been sold (Proceed to Q29)
The business has been permanently closed (Proceed to Q29)
[If your business has been closed or sold] When was it closed or sold?
Month: MM
Year: YYYY
Please indicate the month and year when your business was first established:
Month: MM
Year: YYYY
What’s the industry of your business? (Based on two-digit NAICS code.)
11 Agriculture, Forestry, Fishing, and Hunting
21 Mining
22 Utilities
23 Construction
31-33 Manufacturing
42 Wholesale Trade
44-45 Retail Trade
48-49 Transportation and Warehousing
51 Information
52 Finance and Insurance
53 Real Estate Rental and Leasing
54 Professional, Scientific, and Technical Services
55 Management of Companies and Enterprises
56 Administrative and Support and Waste Management and Remediation Services
61 Educational Services
62 Health Care and Social Assistance
71 Arts, Entertainment, and Recreation
72 Accommodation and Food Services
81 Other Services (except Public Administration)
99 Other, please specify:
Please provide total annual revenue of your business for the following three calendar years:
If an exact figure is not available to you, please provide an estimate.
In [YEAR-2]: ____________ (dollars)
In [YEAR-1]: ____________ (dollars)
In [YEAR]: ____________ (dollars)
On average, how many employees, including paid owner(s), did your business have for the following three calendar years?
If an exact figure is not available to you, please provide an estimate.
In [YEAR-2] number of:
Fulltime employees: ____________
Part-time employees: ____________
Contracted employees (receiving 1099 tax form): ____________
In [YEAR-1] number of:
Fulltime employees: ____________
Part-time employees: ____________
Contracted employees (receiving 1099 tax form): ____________
In [YEAR] number of:
Fulltime employees: ____________
Part-time employees: ____________
Contracted employees (receiving 1099 tax form): ____________
Does your business currently hold any officially designated certifications (e.g., Women-Owned, 8(a), Minority-Owned)?
Yes
No
If yes to Q34, proceed to Q35.
If no Q34, proceed to Q36.
(IF YES) Does your business currently hold any of the following officially designated certifications? (Select all that apply.)
No certificates apply
SBA-certified 8(a) Business
SBA-certified HUBZone Business
SBA-certified Small Disadvantaged Business
SBA-certified Women-Owned Small Business or Economically Disadvantaged Women-Owned Small Business
Certified Minority-Owned Business
Certified Service-Disabled Veteran-Owned Business or Veteran-Owned Business
Other certificates, please specify:
Does your small business currently have any of the following owner designations? (Select all that apply.)
Veteran-Owned Business
Women-Owned Business
Minority-Owned Business
Small Business
Other, please specify:
What is the legal structure of your business? (Select all that apply.)
Corporation
LLC
S-Corporation
Sole Proprietorship
Partnership
Other, please specify:
Is your business registered in the System for Award Management (SAM)?
Yes
No
Don't know
What is your business EIN number, if applicable? (Use 00-0000000 format.)
The business EIN would allow the SBA to conduct analysis of business growth over time. We will strictly keep your EIN confidential and securely stored.
<Text box >
Don’t know
Don’t want to report
[If you answered yes to Q2 or Q3, proceed to Q40.]
[If yes to Q2 OR Q3] Please provide suggestions for improving the trainings, events, activities, or services including networking provided or organized by {cluster name}: ___________
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Nicholas Bahel |
File Modified | 0000-00-00 |
File Created | 2023-08-30 |