Please return this survey to chansen@hbbc.org no later than
July 10, 2003.

Items with a * are optional.

Your name --
Gender (M/F) --
E-mail --
Business Name* --
Your address* --
State --
Zip* --
Phone* --
Bus. Phone* --
 
This survey was given to me by (person or organization) --

While all the following descriptions fall under the general
category of home-based businesses, in order that we understand
your type of home-based business, please use the following
definitions:

   SELF-EMPLOYED - plying a trade, craft or skill built
   around your specialized knowledge, talent, or experience

   FREE-AGENT- a self employed individual who sells his/her
   talent/expertise to clients for a fee (i.e. writer,
   consultant)

   HOME-BASED ENTREPRENEUR - involved in the sale of
   products and/or services by yourself or through
   employees and often carrying an inventory of supplies-for
   sale, as samples, or as part of a finished product-being
   sold to consumers, businesses, or export.

   ADVOCATE/ASSOCIATION - a leadership person or group that
   works with and/or for home-based business

Are you:   

   ___ self-employed
   ___ free-agent
   ___ home-based entrepreneur
   ___ advocate/association

What are your most pressing issues or concerns?

   Place a number from 1 - 10 next to each item based upon
   its importance to you 1= most important; 10 = least important

   ___ Health care/insurance
   ___ Startup/growth capital
   ___ Business regulations
          Please list --
   ___ Zoning
   ___ Time management 
   ___ Marketing
   ___ Education/training                          
   ___ Support/networking/building a team
   ___ Hiring/firing/employment issues
   ___ Business insurance
   ___ Other
          Please list --

Please return this survey to chansen@hbbc.org no later than July 10,
2003.

Thank you.