Fosterly's Startup Census is intended to be completed by startup and creative economy founders and executives in DC, Maryland, and Virginia.
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1 Intro Fosterly's Startup Census is intended to be completed by startup and creative economy founders and executives in DC, Maryland, and Virginia. We have taken several steps to decrease the amount of time it takes to complete this year s Census. Respondents can also start, save, and finish submissions at a later point in time. While completion of all relevant questions to your business is tremendously beneficial for the data set and upcoming analysis, we've made all questions related to human resources, funding, and revenue optional. Fosterly will compile and distribute a comprehensive report in early Submitted data will be grouped and anonymized for reporting purposes. While we will filter responses for the Census report, a loose guideline for eligible companies are: - ARR < $10,000,000 - OR < 5 years old - OR One that self identifies as participating in the DC region s entrepreneurship ecosystem The deadline to complete the Census is Friday, January, 5th. Finally, thank you to the numerous jurisdictions and partners who make this annual Census possible, including: Primary Survey Respondent Information First Name Last Name Address Phone Number 1/16
2 Did you complete the Fosterly Census in 2016? Company Information Company Name / DBA Company Description (140 Characters) Is your company still operating? Why did your company cease operations? Company Formation Date of Company Founding Organization Type Country of Corporate Formation United States of America State of Corporate Formation Company Online Profile Company Website (URL) Where does your company maintain social media accounts? 2/16
3 Facebook Twitter LinkedIn Instagram Snapchat Pinterest Youtube Reddit Other ne What is your company Twitter handle? Where does your company maintain a social media account that was missing from the list? Company Positioning Primary Industry Does your company primarily sell products or services? Products (includes apps & software) Services Both Does your company offer a mobile app? On what platforms is your app available? Windows Phone Android ios Company Details What type(s) of customers does your company serve? Consumers Small & Medium Size Business Enterprise Government n-profit 3/16
4 Select any descriptions that apply to your company. Double Bottom Line Business High Growth Startup Early Stage Technology Company Social Enterprise Small Business ne of the above How would you describe your business? Does your company maintain a board of directors? Does your board of directors include any women? Is your company majority woman, minority, or veteran owned? Select all that apply to your company's majority owners. Woman Minority (includes racial, ethnic, and LGBTQ) Veteran Founder Information Please describe your company founders. At least 1 Founder required. Founder Name Gender Race First Last Founder #1 Founder #2 Founder #3 Founder #4 Founder #5 Please list any university ${q://qid32%231/choicetextentryvalue/1/1} ${q://qid32%231/choicetextentryvalue attended. 4/16
5 Please list any university ${q://qid32%231/choicetextentryvalue/2/1} ${q://qid32%231/choicetextentryvalue attended. Please list any university ${q://qid32%231/choicetextentryvalue/3/1} ${q://qid32%231/choicetextentryvalue attended. Please list any university ${q://qid32%231/choicetextentryvalue/4/1} ${q://qid32%231/choicetextentryvalue attended. Please list any university ${q://qid32%231/choicetextentryvalue/4/1} ${q://qid32%231/choicetextentryvalue attended. HQ Location The questions in this section pertain to your company's primary office. If your company maintains more than one HQ, please describe the office located in the Greater Washington DC region. Address Line 1 Address Line 2 City State Zip Code 5/16
6 HQ Details How many employees work at this location? Which option best describes your office? How long has the company occupied this location? Does the company plan to move from this office in the next 12 months? Maybe Please indicate your co-working space provider. Please name your co-working space provider. Square Footage (SF) Occupied? Lease duration? Hiring and Employement In total across the company (regardless of location), how many people does your company employ including founders? Average annual salary for Founders? (Cash compensation only.) Number of full-time, salaried employees? 6/16
7 Average annual salary for full-time (non-founder) employees? Number of part-time or hourly employees? Average hourly rate for non-salaried employees? Dollars per Hour Use the fields below to quantify the diversity of your company. Women Employees n-white Employees Veteran Employees Employees between 18 and 35 years old 35 and 50 years old 51+ years old Total Number In Leadership Roles (VP+) In Technical Roles (Dev, Design, Data, etc.) Quantity Quantity Quantity Do you plan to hire any new employees in the next 12 months? Maybe How many people do you plan to hire in the next 12 months? Total Number Which positions Do you plan to hire fo Administrative C-Suite & Executive Data Science & Analysis Design (UX) Engineering & Development Finance Human Resources Full Time Employees Part Time Employees Interns Would you like more information on Fosterly's free Intern Match Program? Rank the following departments in order of hiring priority. (Drag selections to reorder.) Human Resources 7/16
8 C-Suite & Executive Administrative Sales Finance Design (U/X) Operations Data Science & Analysis Management Marketing Engineering & Development Benefits What benefits does your company offer employees? Medical Insurance Dental Insurance Vision Insurance Life Insurance 401K Matching Paid Continuing Education Paid Time Off (PTO) Free Catered Meals Remote Work Option Paid Maternity / Paternity Leave On-site Massage Therapy Commuter Benefits On-site Bike Storage On-site Showers Other Benefits What other benefits does your company provide employees? Have you partnered with any universities to provide continuing education for your employees? Funding What sources of funding (and cash equivalent resources) has your company utilized? Initial Coin Offering (ICO) Research Grants 8/16
9 Friends & Family SBA Backed Bank Loan Accelerator / Incubator Traditional Bank Loans Crowdfunding / Presales Credit Card Debt Bootstrapping (Revenue) Factoring (short-term loans against receivables) Angel Investment Savings Venture Capital Cash Awards (pitch competitions etc.) Convertible Debt Crowdfunding for Equity Which crowdfunding platform did you use? Kickstarter Indiegogo Republic Crowdfunder GoFundMe Rocket Hub Equity Net Other Please name the crowdfunding platform you used. Amount of grant / award money received to date. Amount raised to date? Select the Accelerator / Incubator programs your company has participated in. HAX Techstars Zero to 510 Yield Lab Amplify LA FooX Health Wildcatters R/GA Seed Spot UpTech Please name the program your company participated in that was not listed. 9/16
10 Do you plan to raise funds from outside investors in the next 12 months? Maybe Where do you maintain fundraising related company profiles? Angel List Gust Crunchbase Other ne Please name the platform your company uses that was not listed. Revenue Change in revenue over time is a key component to understanding economic growth. All revenue figures will be kept strictly confidential and only reported in aggregate to maintain confidentiality. Please provide your company's revenue details below. Gross Revenue Profitable? Margin as a % of Revenue 2016 Annual Revenue 2017 Estimated Revenue 2018 Estimated Revenue Please estimate what percentage of your company's total revenue is derived from private sector vs. public sector customers. Percent of Total Annual Revenue Private Sector Public Sector Does your company use a Customer Relationship Management (CRM) tool? Would you like to be introduced to the Contactually team? (Fosterly uses their CRM to power the Census outreach.) 10/16
11 How do you reach your customers? Paid Online Advertising Print / Mail Advertising Newspaper / Magazine Advertising Podcast Advertising Radio Advertising Content Marketing Marketing Cold Calling Industry Events Relationship Based Sales Other How much did your company spend on paid online advertising in 2017? On which online platforms did your company run paid ads in 2017? Facebook Google Adwords Google Display Network Instagram Bing Reddit Youtube Yelp Snapchat Twitter Outbrain Other Technology Does your company maintain non-mobile phones in your office? Which device manufacturer is more prevalent in your office? Apple PC Is your company planing to incorporate blockchain technology into your business or products? Definitely yes Probably yes Might or might not 11/16
12 Probably not Definitely not What marketing platform does your company use? If you use more than one, choose your primary platform. What CRM does your company use? If you use more than one, choose your primary platform. Service Providers What accounting software does your company use? What payroll and benefits provider does your company use? What external service providers does your company use? Accountant Bookkeeper Commercial Real Estate Broker Attorney Public Relations Investment Banker Other ne Would you like to be introduced to the Impact Economy Team at Womble Bond Dickinson? This team specializes in providing legal services to social entrepreneurs. What business bank and / or credit card provider does your company use? American Express Bank of America Chase Citi Bank Silicon Valley Bank Eagle Bank Wells Fargo BB&T M&T Bank 12/16
13 PNC Bank Capital One Other ne Please select the accounting firm your company uses. Please select the company your commercial real estate broker represents. Please select the company your attorney represents. Open Ended Questions Unlike your responses to previous questions, your answers to the following open ended questions will be shared with government officials and other regional leaders to better inform their strategic decision making. Please answer in complete sentences and with as much detail as needed. If you would like your comment to be attributed to your company, include your company name at the end of each comment. What are your company's most significant opportunities for growth and what would enable you to achieve it? What threats or impediments to growth does your company face, and what would help you overcome them? Why is the DC/MD/VA area a good place for you to do business? How could the climate for business in the region be improved for your company? Is there anything else you would like to share? 13/16
14 On a scale from 0-10, how likely are you to encourage another community member to complete the Fosterly Census? t at all likely Extremely likely How can Fosterly improve this Census? [Optional] Please list up to five other community members you would like to refer. If they have not already completed the Census, Fosterly will provide them with a link to do so. Name Details First Last Job Title Company Address Referral #1 Referral #2 Referral #3 Referral #4 Referral #5 Promotional Authorization Would you like to be considered for participation in a Census related focus group at a later date? Maybe Fosterly provides free promotional activities related to the Census for participating companies. Indicate below if you would like your company to be considered for inclusion. Company / Founder spotlight in the summary report Social media tag / call out / thank you Company mention in Fosterly Census marketing Please do not include my company Powered by Qualtrics 14/16
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