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Fund MyClimateStartup Intake Survey
Please take 3-5 minutes to tell us a little about you and your company so that we can understand your needs.
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* Indicates required question
Email
*
Your email
What is your full name?
Your answer
What is your company name?
Your answer
How many years have you been in business?
*
Your answer
Approximately how much capital (cash...not sweat equity) have you invested in the business?
*
None
$0K to $100K
$100K to $250K
$250K to $500K
$500K to $750K
Over $1M
How much outside capital has been invested in the business?
*
None
$0K to $100K
$100K to $250K
$250K to $500K
$500K to $750K
Over $1M
Which of the following business accounts have you established for the company?
*
Checking
Savings
Credit Card
Line of Credit
Trade Credit
Other:
Required
What other customer traction are you experiencing?
*
LOIs
Purchase Orders
Direct Sales
Referral Sales
None
Other:
Required
How much revenue revenue did the business generate in the last month:
*
Your answer
How much revenue revenue did the business generate in the last quarter:
*
Your answer
How much revenue revenue did the business generate in the last year:
*
Your answer
How much cash to you have on hand?
*
Your answer
What is your monthly burn rate?
*
Your answer
How much capital are you raising?
*
Your answer
What sort of capital are you seeking to secure?
*
Angel Investor
Debt - Private
Debt - Institutional (e.g. Banks, Credit Unions, CDFIs etc.)
Grants - Government
Grants - Private / Institutional
Private Equity
Venture Capital
None
Other:
Required
What does a "perfect" investor look like to you?
Your answer
How would you describe your experience so far with securing capital?
*
Your answer
What does success look like to you?
*
Your answer
How would you describe your expertise with the following?
*
None
Basic
Intermediate
Advanced
Expert
Don't Know
Financial Modeling
Contract Negotiations
Investor Relations
Financial Due Diligience
Business Strategy
Financial Planning and Analyis
None
Basic
Intermediate
Advanced
Expert
Don't Know
Financial Modeling
Contract Negotiations
Investor Relations
Financial Due Diligience
Business Strategy
Financial Planning and Analyis
What will it cost you in the next 6 months if you have not secured the funding and resources you need to achieve your next major milestone (e.g. Lost business, Opportunity cost, Slow Growth, Missing out on talent etc.?)
<$150K
$150K to $500K
$500K to $1M
>$1M
Other:
Clear selection
Is there anything else you'd like to share? Anything else we should know?
Your answer
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