Kiva Client Survey

Kiva Loan Amount(*)

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Date Received(*)

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Control #(*)

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Date(*)

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Client Name(*)

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Phone(*)

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Email Address(*)

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Hello

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this is(*)

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calling from the Florida Women’s Business Center. Thank you for being a client of our center, we hope it has been beneficial to you. As you know, we receive a grant from the SBA which allows us to provide workshops and free 1 on 1 counseling. A requirement of our grant is that we must complete a survey for each client, do you have a moment to answer a couple of survey questions so we can meet our goals?

Is your business currently operating(*)

Yes

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Do you have employees(*)

Yes

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How many employees

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Is your business registered in SunBiz(*)

Yes

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Date Registered in SunBiz

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Do you have a business tax receipt or occupational license(*)

Yes

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Do you have a completed business plan(*)

Yes

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Are you seeking additional funding for your business(*)

Yes

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How much(*)

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Is your business certified in the State of Florida(*)

Yes

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Are you registered in the Federal Government - SAM System(*)

Yes

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Are you registered as a vendor in the county(*)

Yes

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Have you been in touch with one of our business counselors(*)

Yes

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Can we schedule an appointment for you with a business counselor(*)

Yes

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What is one thing we can do better to help you?(*)

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What other services can we provide to benefit your business(*)

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Other Comments

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I appreciate you taking the time to speak with me, have a great day!