This brief questionnaire provides us with basic information about your business and your current situation.

Once we review your responses, we'll contact you within two business days to schedule a brief telephone
conversation. That telephone conversation allows us to gain additional insights into your situation and
your needs. This is a time for you to ask as many questions as you like about Apogee Growth and
Profitability Accelerator system. It’s also a time for us to determine your potential success following our work together.

PRIVACY. Your responses are held in the strictest confidence.
Only Apogee team leaders have access to this questionnaire. Once the FEE FREE program begins, all
Apogee team members sign a confidentiality agreement to further protect you and your business' information.

Your Name

Title

Company Name

Address

City/State/Zip

Your direct phone number

Your best email address

Your website url

Are you the primary shareholder or owner of this business? Choose "YES" or "NO" below.

Number of year in business

Total annual sales

Is your business growing? Choose "YES" "SOMEWHAT" "NO" below.

Is your business profitable? Choose "YES" "SOMEWHAT" "NO" below.

Number of full-time employees

What primary markets do you serve? (Who are your customers/clients?)

What products or services do you provide to customers/clients?

What do you believe are the TOP THREE ISSUES, CONCERNS, OR CHALLENGES facing you and your business today?