Your Business:

1.	Please describe the nature of your business:

2.	Does your business:
	Sell products or offer services direct to the public?	Yes		No

3.	If yes, what percentage of your business does this involve?
	Direct to the Public:	0-25%		25-50%		50-75%		75-100%

4.	Does your business:
	Sell products or offer services to other businesses? (Business to Business)	Yes		No

5.	If yes, what percentage of your business does this involve?
	Business to Business:	0-25%		25-50%		50-75%		75-100%

6.	Since October 2008, please indicate the approximate % change in your annual turnover
		0-25%		25-50%		50-75%		75-100%
	Increase in percentage
	Decrease in percentage

7.	Since October 2008, how has your relationship changed with your bank?
	Change in Relationship	Relationship Improved		Remained the same		Relationship Worsened		Don't Know

8.	Has this affected your business?
	Affect on business	It has hurt my business		No Change		It's Better		Don't Know

Your Staff

9.	How many people does your business employ?
		0		1-5		5-10		10-25		25-50		50-100		100-150		150-200		200+
	Full Time
	Part Time
	Temporary
	Contract

10.	How does this compare with October 2008?
		0		1-5		5-10		10-25		25-50		50-100		100-150		150-200		200+
	Full Time
	Part Time
	Temporary
	Contract

11.	Have your staff training plans changed since 2008?
	Yes
	No

12.	If yes, have they
	Increased
	Decreased

13.	Are you aware that there could be significant financial support for training?
	Yes
	No

14.	Would you like more information about this?
	Yes
	No

Your Future

15.	How optimistic are you about your future prospects?
	Very
	A Little
	Not Very
	Not At All

16.	Are you planning to:
		Yes		No
	Recruit staff over the next three months?
	Shed staff over the next three months:

17.	If anything practical were possible, what TWO actions would you take to improve your business?
	ACTION 1
	ACTION 2

	In conclusion, thank you for completing this survey.                                                                                                                        If you wish to receive the results, or be contacted about the training support available, please complete your details here:

	Finally, in February, Basildon Renaissance Partnership pioneered the organisation of a series of Business Clinics - where various advisors from Business Link, ACAS, Train to Gain, ourselves and some banks, came together to work with businesses on their problems - and opportunities.  If you wish to come to a future Clinic, please tick here

We are required to collect the following information when preparing any type of survey and ask for your co-operation in completing the following:

COMPANY OWNERSHIP:The Commission for Racial Equality defines an ethnic minority as anyone who defines themselves as being in any of the Census 2001 categories other than 'White  British'.  An ethnic minority business is defined as 'a business at least 51% owned by members of one or more ethnic minority group'.

Your answers to the following questions are voluntary and will be used for statistical purposes only

18.	Is your organisation an ethnic minority business according to the definition above?  (Please tick the relevant box).
	Yes
	No
	Don't know or public-quoted company
	Don't want to say

DISABILITY AND GENDER:  A disabled person is a person who considers themselves to be disabled as set out under the Disability Discrimination Act.   The Disability Discrimination Act 2005 considers a person disabled if: You have a long standing physical or mental condition or disability that has lasted or is likely to last for at least 12 months and this condition and disability has a substantial adverse effect on your ability to carry out normal day-to-day activities. A disability led business is one that is at least 51% owned by one or more disabled people.

19.	Is your organisation a disability led business?
	Yes
	No

A women led business is one that is at least 51% owned by one woman or more.

20.	Is your business a women led business?
	Yes
	No

Thank you for completing this survey