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Describe your Business: _______________________________________________________________

Do you have a business plan Yes No

If yes, please e-mail to kathyk@greenstonegroup.org _______________________________________________________________

How long has this business been in existence? 2 Years or less 3 - 5 Years 5 - 8 Years 9 Years or more _______________________________________________________________

Gross sales in last fiscal year _______________________________________________________________

Number of Employees   Full-Time Part-Time _______________________________________________________________

Type of Business Manufacturing Health Care Speciality Retail Construction Technology Transportation Mining or Extractive Related Industries Tourism/Leisure/Recreation/Crafts

Other _______________________________________________________________

Approximately what percentage of your sales derives from outside the northeast region of Minnesota (and Douglas County in WI)? % _______________________________________________________________

If your business would achieve substantial growth, what would it look like?

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Name three specific goals for growing your business:

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Name three specific skills you want to achieve in working with a coach:

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What expectations would you have in working with a coach-facilitated peer group of business owners?

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Have you ever been a member of similar business discussion/study group? Yes No

If yes, please describe

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