First Name
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Last Name
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Organization Name
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Phone
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Email
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Website or LinkedIn (optional)
What type of business are you building?
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Select an option
Are you currently considering raising capital through Regulation Crowdfunding / Reg CF?
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Yes, I am actively preparing
Yes, but I am still researching
Maybe, but I do not know enough yet
Not sure
No, but I am curious
How much are you considering raising?
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Under $50,000
$50,000–$100,000
$100,000–$250,000
$250,000–$500,000
$500,000–$1,000,000
$1M+
Not sure yet
What would the funds be used for?
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Product development / MVP completion
Marketing and customer acquisition
Hiring / team expansion
Inventory / equipment
Technology / platform buildout
Real estate / location expansion
Working capital
Debt reduction / cleanup
Regulatory / legal / compliance costs
Other
Not sure yet
Do you have a clear story explaining why someone would invest?
Yes, very clear
Somewhat clear
I can explain it verbally but it is not written well
Not really
I need help with this
Free Crowdfunding Readiness Survey
Do you already have a warm audience or network you could invite to look at your campaign?
Yes, strong customer/community/email list
Yes, moderate warm network
Some friends, family, customers, or supporters
Very small network
Not really
I am not sure
Approximately how many people could you directly reach?
Under 100
100–500
500–1,000
1,000–5,000
5,000+
Not sure
Do you have an email list, customer database, social following, Meetup group, community, or warm network you can contact?
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Email list
Customer database
Social media following
LinkedIn network
Local community
Meetup/group/community
Friends and family network
Existing investors/advisors
None yet
Not sure
Which campaign materials do you already have?
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Pitch deck
Business plan
Financial statements
Use-of-funds plan
Founder bio
Product/service description
Customer/user traction summary
Investor FAQ
Campaign video
Email/social launch copy
None of these yet
How ready are your documents?
Very ready
Mostly ready
Some pieces are ready
Scattered and incomplete
Not ready
I do not know what is required
Do you have a launch outreach plan?
Yes, written and scheduled
Somewhat
I have a general idea
Not yet
I need help building one
Do you have a follow-up system for people who show interest but do not invest right away?
Yes
Somewhat
Not yet
I had not thought about that
I need help with this
What is your biggest concerns about launching a crowdfunding campaign?
I do not know if my business is ready
I do not know which platform to use
I do not know how to explain the offer
I do not have my documents organized
I do not have a strong enough audience
I do not know how to promote the campaign
I am concerned about compliance
I am worried people will not invest
I need help preparing the campaign
Other
What would be most helpful right now?
A readiness review
Help organizing my campaign materials
Help writing the campaign story
Help with outreach and launch strategy
Help choosing a platform
Help preparing for submission
A full campaign preparation support package
I am just researching
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