1. What is your current development stage of your business venture?

Choose only one.

Idea - Conceptual product without

revenues/customers/employees
Startup - Prototype Product with preliminary
sales
Growth - New Product - Minimum revenues
Expansion - Established Product with
Customers and close to Breakeven
Mature - Established - Operating at a profit
2. What is the value add of your product or service? Please compare to
direct and indirect competitors in your industry.

Similar product to others

Product offers new features not available
elsewhere
Radically new product and service with
overwhelming advantages
Product with 20%-50% cost/benefit advantage
Product with greater than 50% cost/benefit
advantage
3. How developed is your relationship with customers? Pick the best
one.

None yet
Some identified
Signed letters of intent
Current test customers
Paying customers
Established repeat customers
4. What are your "trailing revenues"? I.e. sales for the past 12
(twelve) months?

None
Less than $100,000
Between $100,000 to $1,000,000
Over 1,000,000
Over $5,000,000
5. What are your expected revenues four years from now?

Less than $1M per year

Over $1 Million, less than $10M dollars per
year
Over $10 Million, less than $100M dollars per
 year
Over $100 Million, less than $500M dollars per
year
Over $500M
6. In four years, what is your expected market share in your industry?

Do not know
Less than 20%
Between 20%-40%
Between 40%-70%
Over 70%

7. How large is your target market and industry? Note that you should
be very specific (selling peanuts at the circus puts you in a very small
market, not in the multibillion dollar food or entertainment industry).
Base your answers on the above two questions, or revise your above
answers.

Less than $10 Million dollars per year

Over $10 Million, less than $100M dollars per
year
Over $100 Million, less than $500M dollars per
year
Over $500 Million, less than $1B dollars per
year
Over $1B

8. What is the current state of competition in your industry?

Unidentified competitors
Many small competitors
Several large competitors dominate industry
One or Two large competitors dominate
industry

9. What is your relative size versus competitors in industry?

Similar size / advantages to others

One of the First Movers into the industry
Best network and alliances with exclusive
contracts
First Place: Currently larger by 10-40% %
over next competitor
First Place: Currently the largest by 50% over
next competitor
10. What intellectual property does your venture currently have?
 None
Trademarks and copyrights
Process patents
Patent pending technology
Patented technology (granted)
Patented technology implemented in product
Patented technology - with royalty stream

11. Is your key executive team (CEO/CFO/Marketing/CIO/Ops) on

board?

Founders only - top spots pending funding

CEO and others currently on a part-time basis
CEO and others full-time commitment
CEO and others have worked on venture for
over one year full-time

12. Has top management had previous successes?

None...yet!
With previous employers
Own small business success
IPO or Company sold for > $10M and <$100M
Company sold for >$100M
IPO taken to market >$100M

13. How much money has management committed to the venture so

far? This is purely capital, without any "in-kind" or labor costs.

None
Less than $10,000
Between $10,000 to $100,000
Between $100,000 to $500,000
Over $500,000

14. What are the most likely

"exit scenarios" for your
investors, I.e. how will they
get their money back in five
years?

Have not thought about it

 Interest payment
Dividends
Sale to management
Sale to strategic buyers
IPO

15. What detail exists for

your financial statements?

None written yet

Basic income statement
only
Detailed income
statement, balance sheet
and cash flows
Complete set of
statements reviewed by
accountant
Complete set of
statements audited by
accountant

16. How developed is your

marketing plan?

None written yet

Promotion, pricing and
distribution addressed
The above plus branding
and image
Test Marketed branding
and marketing

17. How much market

research have you done for
new or follow-on products?

None
Industry literature
Surveys
Focus Groups
Market tests with selected
customers
Functioning product at
multiple customers

18. How does your business

plan address inherent risks?
 Best case scenario is
realistic
Worst case scenarios are
outlined
Multiple scenarios are
considered and planned
Measures to counter risk
are identified
Measure to counter risk
are implemented

19. How detailed is your

business plan document?

None written yet

Executive summary of
about four pages
Business plan written by
CEO of about 20 pages
Total business and
operational plan, ready to
implement
Professionally written and
edited plan

20. How much venture

capital are you seeking right
now?

Less than $200,000

Between $200,000 to
$1,000,000
Between $1,000,000 to
$5,000,000
Over $5,000,000