1. What is the full name of your business?

2. What name do you do business under?

3. Main Business Phone Number:

4. Business Fax Number:

5. Business Email Address:

6. Business Web Site Adress:

7. Business Street Address:

8. Business City, State, Zip:

9. Business Hours of Operation:

10. When, Where and how was your business started?

11. Give a brief history of the founder(s) and how he/she/they came to start the business:

12. Describe teh services or products your business offers. Emphasize the one(s) you consider most important:

13. Who owns and operates the business today?

14. Describe any major events that have changed your business in a dramtic way (obstacles overcome, important developments, etc.).

15. Describe the relevant staff and/or management who runs the business:

16. Give your company mission statement and how it impacts the day-to-day operations:

17. What is the #1 distinction that sets your business apart from the competition?

18. How would you explain your philosophy of business to someone you had just met?

19. Describe any relevant information about your business' community involvement/commitment to social responsibility:

20. What happened on the day yor remember as your best (so far) in this business?

21. Describe the accomplishments (so far) in your business of which you are most proud:

22. Give one fact, ancedote, story or other piece of information not already covered here that may prove interesting for a story:

23. Other suggestions or comments:

Than you for taking your valuable time to fill out this form.