 The Baseline Survey
 A. Introduction
| INTRO: Hello, my name is ______________. I’m calling on behalf of the Kauffman Foundation of Kansas City. |
| |
|
| A1. May I speak with ([CEO/OWNER]/the owner or CEO of [NAME BUSINESS])? |
OWNER/CEO—PROCEED WITH INTERVIEW
OWNER/CEO—BAD TIME/CALL BACK
OWNER/CEO—NOT AVAILABLE
OWNER/CEO—NO LONGER WITH BUSINESS
OWNER/CEO—OTHER OWNER AVAILABLE
BUSINESS NO LONGER IN OPERATION
DON’T KNOW /REFUSED |
GO TO A4
GO TO A2a
GO TO A3
GO TO A2
GO TO A2
GO TO A10
TERMINATE |
A2. Who is (currently the/another) owner of [NAME BUSINESS]?
A2a. I’m sorry. When would be a better time to reach (you/[OWNER])?
A3. Please tell me when (OWNER/CEO) will be available and I’ll call back later.
A4. We are conducting a study for the Kauffman Foundation about new businesses. Your business has been selected to participate in the interview and represent new businesses across the country. If your business is eligible for the study, you will receive $50 for completing the interview. Your answers will be kept confidential. |
| |
|
A5. First, are you actively involved in running [NAME BUSINESS]? By actively involved in running the business, we mean providing regular assistance or advice with day-to-day operations of the business rather than providing only money or occasional operating assistance.
a5_actively_involved_0 |
|
YES
NO/DON’T KNOW/REFUSED GO TO A7
|
A6. Were you actively involved in the creation of [NAME BUSINESS]?
a6_founder_0 |
YES
NO / DON’T KNOW / REFUSED GO TO A8 |
|
| A7. Is there another owner of [NAME BUSINESS]? |
YES GO TO A2
NO / DON’T KNOW / REFUSED TERMINATE |
|
A8. First, I’d like to confirm your business’ mailing address. Is [NAME BUSINESS]’s mailing address (ADDRESS, CITY, STATE, ZIP)?
a8_addr_ver_0 |
YES
NO
DON’T KNOW / REFUSED |
GO TO B1
GO TO A9
GO TO B1 |
| A9. What is [NAME BUSINESS]’s correct mailing address? |
| GO TO B1 |
A10. What is the main reason [NAME BUSINESS] is out of business?
a10_out_of_business_0
a10_other_specify_0 |
|
THANK AND TERMINATE
|
 B. Eligibility Screening
| B1. I’m going to read you some descriptions of how a business can get started. Please tell me which of the following best describes how [NAME BUSINESS] was started. Was it (READ ITEM FROM LIST) . . .? |
a. A new business, branch or subsidiary owned by an existing business
b. A business inherited from someone else
c. A new, independent business created by a single person or a team of people
d. The purchase of an existing business
e. The purchase of a franchise
f. An organization designed for social and charitable objectives and legally established as a “not-for-profit”
g. Or, the business started some other way? (SPECIFY)
INTERVIEWER NOTE: IF RESPONDENT ANSWERS “YES” TO ITEMS a, b, OR f, THANK AND TERMINATE.
b1_bus_start_0
b1_bus_start_specify_0 |
| B2a. I’m going to read you a list of some different forms of legal status a business can have. As of December 31, 2004, which form of legal status did [NAME BUSINESS] have? Was it a . . |
Sole Proprietorship: A type of business ownership in which a business is owned and managed by one individual and no subchapter S-corporation or C-corporation has been established.
Limited Liability Company: A cross between a corporation and a partnership, and offering some of the benefits of both. Similar to S corporations, income produced by a limited liability company flows through to owners (known as “members”) who pay their own taxes as individuals. Unlike S corporations, however, limited liability companies are not subject to as many government restrictions.
Subchapter S-Corporation: Corporations in which all profits and losses are passed through to shareholders, just as they are passed through to partners in a partnership.
C-Corporation: Legal entities separate from their owners that may engage in business, make contracts, own property, pay taxes, and sue and be sued by others.
General Partnership: An association of two or more people who co-own a business for the purpose of making a profit and no subchapter S-corporation or C-corporation has been established.
Limited Partnership: A partnership in which one or more partners are general partners who manage the business and others are limited partners who invest in the business but forego any right to manage the company.
b2a_legal_status_0
b2a_legal_status_specify_0 |
| B2b. Thinking back two years, on December 31, 2003 or before, were the business operations of [NAME BUSINESS] being conducted under one of the other legal forms I just read? |
YES
NO / DON’T KNOW / REFUSED TERMINATE
b2b_prev_legal_status_0 |
|
| B3. Does [NAME OF BUSINESS] have an Employer’s Identification Number, which is also known as an EIN? |
Yes
NO / DON’T KNOW / REFUSED GO TO B5
b3_ein_0 |
|
| B4. When did the business apply for the Employer Identification Number? Was it . . .? |
During Calendar Year 2005
During Calendar Year 2004
Or, During Calendar Year 2003 or Before? TERMINATE
b4_ein_year_0
IF SOLE PROPRIETORSHIP AT QUESTION B2a, ASK B5.
OTHERWISE, GO TO B7.
|
B5. A Schedule C or Schedule C-EZ is used to report income or loss from a business. It is submitted with your personal income tax.
As part of your 2004 income tax return, did you submit a Schedule C or Schedule C EZ to report income or loss from [NAME BUSINESS]? |
YES, DID SUBMIT
NO, DID NOT SUBMIT GO TO B7
b5_schedule_c_0 |
|
B6. Was 2004 the first TAX year you submitted a Schedule C or a Schedule C-EZ to report income or loss from this business?
|
YES, WAS FIRST YEAR
NO, WAS NOT FIRST YEAR TERMINATE
DON’T KNOW/ REFUSED
b6_schedule_c_year_0 |
|
B7. Did [NAME BUSINESS] pay any state unemployment insurance taxes for calendar year 2004?
|
YES
NO/DON’T KNOW/ REFUSED GO TO B10
b7_ui_0 |
|
B8. IF YES: Was this the first year the business paid state unemployment taxes?
|
YES
NO TERMINATE
DON’T KNOW/ REFUSED GO TO B10
b8_ui_year_0 |
|
| B9. IF YES: And for what month in 2004 were the first state unemployment taxes paid? |
MONTH GO TO B10
DON’T KNOW/ REFUSED
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES
The 1st Quarter Of 2004
The 2nd Quarter Of 2004
The 3rd Quarter Of 2004
The 4th Quarter Of 2004
DON’T KNOW/ REFUSED
b9a_ui_month_0
b9b_ui_quarter_0
|
|
| B10. Did [NAME BUSINESS] pay any federal social security taxes, which are also known as FICA payments, for calendar year 2004? |
YES
NO/DON’T KNOW/ REFUSED GO TO B13
b10_fica_0 |
|
| B11. IF YES: Was this the first year the business paid social security taxes (FICA payments)? |
YES
NO TERMINATE
DON’T KNOW/ REFUSED GO TO B13
b11_fica_year_0 |
| B12. IF YES: And for what month in 2004 were the first social security taxes (FICA payments) paid? |
MONTH
DON’T KNOW/ REFUSED
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES
The 1st Quarter Of 2004
The 2nd Quarter Of 2004
The 3rd Quarter Of 2004
The 4th Quarter Of 2004
DON’T KNOW/ REFUSED
b12a_fica_month_0
b12b_fica_quarter_0
|
B13. INTERVIEWER NOTE: A RESPONDENT IS ELIGIBLE TO CONTINUE THE INTERVIEW IF THE FOLLOWING CONDITIONS APPLY:
1. B1 – New business is not one of the following: Items a, b, f AND
2. B2b – Business has not had any other legal status prior to 2004. AND
3. B4 – Business did not apply for EIN in 2003 or earlier AND
4. B6 – Business did not submit Schedule C or Schedule C EZ before 2004 AND
5. B8 – Business did not make UI payments before 2004 AND
6. B11 – Business did not make FICA payments before 2004
AND ONE OF THE FOLLOWING APPLIES:
1. B2a – Names one of the six forms of legal status
2. B4 – Business applied for EIN during calendar year 2004
3. B6 – Business submitted Schedule C or Schedule C-EZ for the first time in 2004
4. B8 – Business paid UI for the first time in 2004
5. B11 – Business paid FICA for the first time in 2004 |
| |
 C. Business Characteristics
| I’d like to find out more about [NAME BUSINESS]. |
| C1a. As of December 31, 2004, our records indicate the principal activity of the business was [D&B NAICS CODE DESCRIPTION]. Is that correct? |
Yes GO TO C2
NO / DON’T KNOW / REFUSED
c1a_naics_verification_0 |
| C1b. As of December 31, 2004, what was the principal activity of the business? |
| IF SOLE PROPRIETORSHIP AT QUESTION B2a, GO TO C5. |
| C2. As of December 31, 2004, how many individuals or entities owned [NAME BUSINESS]? Please include all individuals or entities who owned shares in the business. |
NUMBER OF OWNERS
DON’T KNOW / REFUSED
c2_owners_0
|
| C3. Of the [NUMBER OF OWNERS FROM C2] owners as of December 31, 2004, how many owners actively helped to run [NAME BUSINESS]? By helped to run the business we mean that they provided regular assistance or advice with day-to-day operations of the business, rather than providing only money or occasional operating assistance. |
NUMBER OF OWNER/OPERATORS
DON’T KNOW / REFUSED
c3a_owner_operators_0
IF ONE OWNER/OPERATOR REPORTED AT C3, GO TO C5. IF MORE THAN ONE OWNER/OPERATOR REPORTED AT C3, ASK:
|
C4. I’m going to be asking some questions about each of the owners who actively helped run [NAME BUSINESS]. Can you tell me the first and last name of the other owner(s) of [NAME BUSINESS]?
|
NOTE: UP TO 10 OWNER/OPERATOR/FOUNDERS WILL BE INCLUDED.
INTERVIEWER: RECORD NAMES OF ALL OWNERS REPORTED AT C4. CONFIRM SPELLING OF NAMES.
c4_numowners_confirm_0 |
| C5. Not counting owner(s), on December 31, 2004, how many people worked for [NAME BUSINESS]? Please include all full- and part-time employees, but exclude contract workers who work for the business either full- or part-time but are not on the business’ official payroll. |
NUMBER OF DECEMBER 31st 2004 EMPLOYEES
DON’T KNOW / REFUSED
c5_num_employees_0
IF BUSINESS REPORTED “0” EMPLOYEES AT C5, GO TO C8. |
| C6. . . . And of those [NUMBER FROM C5], how many were full-time? (IF NEEDED: Full time is considered 35 hours or more per week) |
NUMBER OF DECEMBER 31st 2004 FULL-TIME EMPLOYEES
DON’T KNOW / REFUSED
c6_num_ft_employees_0 |
| C7. . . . And how many were part-time? (IF NEEDED: Part-time is considered less than 35 hours per week) |
NUMBER OF DECEMBER 31st 2004 PART-TIME EMPLOYEES
DON’T KNOW / REFUSED
c7_num_pt_employees_0 |
| C8. How would you describe the primary location where [NAME BUSINESS] operates? Is it . . . |
A residence such as a home or garage,
A rented or leased space,
Space the business purchased,
A site where a client is located, or
Some other location? (SPECIFY)
DON’T KNOW / REFUSED
c8_primary_loc_0
c8_primary_loc_specify_0 |
 D. Strategy and Innovation
| D1. Does [NAME BUSINESS] provide (READ ITEM)? |
a. A service
b. A product
d1a_provide_service_0
d1b_provide_product_0 |
| D2. Businesses often have to compete with other businesses. A competitive advantage is something unique or distinctive a business provides that gives it an advantage compared to competitors. In calendar year 2004, did [NAME BUSINESS] have a competitive advantage over its competitors? |
YES
NO / DON’T KNOW / REFUSED
d2_comp_advantage_0 |
D3. Whether assigned by an owner or obtained in some other way, does [NAME BUSINESS] have any of the following? (READ LIST)
Patent: A patent is a right given by the government to preclude others from making and selling an invention for 20 years from the date of application in return for disclosure of how the invention operates.
Copyright: The legal right granted to authors, composers, artists and publishers to protect their thoughts and ideas for exclusive publication, reproduction, sale and distribution of their works.
Trademark: Words, names, symbols or devices, or any combination of these used to identify the goods of a business and to distinguish these goods from the goods of others. |
YES
NO / DON’T KNOW / REFUSED
d3_a_have_patent_0
d3_b_have_copyright_0
d3_c_have_trademark_0 |
| FOR EACH “YES,” ASK: How many (READ ITEM) does [NAME BUSINESS] have? |
NUMBER BUSINESS HAS
d3_a_num_patent_0
d3_b_num_copyright_0
d3_c_num_trademark_0 |
|
| D4. “Licensing out” is licensing patents, copyrights, or trademarks owned by the business to other parties under a licensing agreement. In calendar year 2004, did [NAME BUSINESS] license out any (READ ITEM)? |
a. Patents
b. Copyrights
c. Trademarks
d4_a_lic_out_patent_0
d4_b_lic_out_copyright_0
d4_c_lic_out_trademark_0 |
|
| D5. “Licensing in” is acquiring the right to use intellectual property such as patents, copyrights, or trademarks created by someone outside the business through a licensing agreement. In calendar year 2004, did [NAME BUSINESS] license in any (READ ITEM)? |
a. Patents
b. Copyrights
c. Trademarks
d5_a_lic_in_patent_0
d5_b_lic_in_copyright_0
d5_c_lic_in_trademark_0 |
|
| D6. Did [NAME BUSINESS] have any customers or sales in calendar year 2004? |
YES
NO / DON’T KNOW / REFUSED
d6_have_sales_0 |
|
| D7. I’d like to learn more about the type of customers that [NAME BUSINESS] had during calendar year 2004. I am going to ask you to estimate the percent of the business’ sales that were made to individuals, businesses, and government agencies. The total should equal 100%. |
a. During calendar year 2004, what percentage of the business’ sales were to private individuals?
b. What percentage of the business’ sales were to other businesses? [IF NEEDED: Please include sales to for-profit and not-for-profit business.]
c. What percentage of the business’ sales were to government agencies?
d7_perc_sales_bus_0
d7_perc_sales_govt_0
d7_perc_sales_indiv_0 |
 E. Business Organization and HR Benefits
IF ONE OWNER REPORTED AT C2 AND BUSINESS REPORTED “0” EMPLOYEES AT C5, GO TO F1.
Next, I’d like to ask about how [NAME BUSINESS] is organized and about the benefits that are offered to employees. |
| |
|
| E1. On December 31, 2004, how many employees or owners, if any, did [NAME BUSINESS] have who were primarily responsible for (READ ITEM)? Please include only full- and part-time employees, but not contract workers who work for the business but are not on the business’ official payroll. |
a. Human resources such as employee benefits, recruitment, or hiring
e1_a_num_human_res_0
b. Sales or Marketing such as sales, market research, customer analysis, or promotional activities
e1_b_num_sales_0
c. Executive administration functions such as strategic planning, competitive analysis, shareholder relations, or general management
e1_c_num_exec_admin_0
d. Research and development on new products or services
e1_d_num_resdev_0
e. Production or manufacturing such as producing materials or products, production planning, production control, quality control, or storage
e1_e_num_prod_manu_0
f. General administration such as office management, responding to maintenance requests, purchase supplies, or training employees in office procedures
e1_f_num_gen_admin_0
g. Financial administration such as accounting procedures, budgeting, financial analysis, or investment activities
e1_g_num_fin_admin_0
h. Does [NAME BUSINESS] have employees with any other key responsibilities? (SPECIFY)
e1_h_num_other_0
e1_h_other_specify_0
NUMBER EMPLOYEES OR OWNERS |
| E2a. As of December 31, 2004, did [NAME BUSINESS] offer full-time employees or owners (READ ITEM): |
a. A health insurance plan either through the business or an association
e2a_ft_emp_hlth_plan_0
b. A retirement plan such as profit sharing, pension, including 401K, annuity, Keogh, etc.
e2a_ft_emp_retire_plan_0
c. Stock options or other stock ownership
e2a_ft_emp_stock_own_0
d. A bonus plan
e2a_ft_emp_bonus_plan_0
e. Tuition reimbursement
e2a_ft_emp_tuit_reim_0
f. Paid vacation
e2a_ft_emp_paid_vaca_0
g. Paid sick days
e2a_ft_emp_paid_sick_0
h. Alternative work schedules such as flex time or job sharing
e2a_ft_emp_flex_time_0
i. Any other benefits? (SPECIFY)
e2a_ft_emp_other_0
e2a_other_specify_0 |
IF ZERO PART-TIME EMPLOYEES AT C7, GO TO F1.
E2b. As of December 31, 2004, did [NAME BUSINESS] offer part-time employees (READ ITEM): |
a. A health insurance plan either through the business or an association
e2b_pt_emp_retire_plan_0
b. A retirement plan such as profit sharing, pension, including 401K, annuity, Keogh, etc.
e2a_ft_emp_retire_plan_0
c. Stock options or other stock ownership
e2b_pt_emp_stock_own_0
d. A bonus plan
e2b_pt_emp_bonus_plan_0
e. Tuition reimbursement
e2b_pt_emp_tuit_reim_0
f. Paid vacation
e2b_pt_emp_paid_vaca_0
g. Paid sick days
e2b_pt_emp_paid_sick_0
h. Alternative work schedules such as flex time or job sharing
e2b_pt_emp_flex_time_0
i. Any other benefits? (SPECIFY)
e2b_pt_emp_other_0
e2b_other_specify_0 |
 F. Business Finances
F1. Now I’d like to ask about [NAME BUSINESS]’s financing. Businesses can get money from the savings or investments of the owner(s), money from spouses, family or other individuals, from companies, borrowing in an owner’s name, venture funds, or by borrowing in the name of the business. Some of the funds must be paid back and other funds represent an equity stake or share of the business.
First, in calendar year 2004, did you put any of your own money into [NAME BUSINESS] in return for an ownership share of the business? Please do not include any money borrowed from others or from credit cards. |
YES GO TO F2a
NO / DON’T KNOW / REFUSED GO TO F2c
f2_owner_eq_invest_01_0 |
|
| F2a. IF YES: How much of your own money did you put into the business during calendar year 2004? |
OWNER A
DON’T KNOW / REFUSED
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES
$500 or less
$501 to $1,000
$1,001 to $3,000
$3,001 to $5,000
$5,001 to $10,000
$10,001 to $25,000
$25,001 to $100,000
$100,001 to $1,000,000
$1,000,001 or more?
DON’T KNOW /REFUSED
f2_owner_amt_eq_invest_01_0
f2_ownr_amt_eqinvest_range_01_0 |
| F2b. IF YES: What percentage of the business did you own on December 31, 2004? |
PERCENTAGE OF BUSINESS
f2_owner_perc_own_01_0
f2_owner_perc_own_01_0
f2_owner_perc_own_03_0
f2_owner_perc_own_04_0
f2_owner_perc_own_05_0
f2_owner_perc_own_06_0
f2_owner_perc_own_07_0
f2_owner_perc_own_08_0
f2_owner_perc_own_09_0
f2_owner_perc_own_10_0 |
IF MORE THAN ONE OWNER AT C4, ASK F2c. OTHERWISE, GO TO F3.
F2c. In calendar year 2004, did any of the other owners put any of their own money into [NAME BUSINESS] in return for an ownership share of the business? |
YES GO TO F2d
NO / DON’T KNOW / REFUSED GO TO F3
f2_owner_eq_invest_02_0
f2_owner_eq_invest_03_0
f2_owner_eq_invest_04_0
f2_owner_eq_invest_05_0
f2_owner_eq_invest_06_0
f2_owner_eq_invest_07_0
f2_owner_eq_invest_08_0
f2_owner_eq_invest_09_0
f2_owner_eq_invest_10_0 |
|
| F2d. And, in calendar year 2004, how much of his or her money did [OWNER B] put into the business? |
OWNER B
DON’T KNOW / REFUSED
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES
$500 or less
$501 to $1,000
$1,001 to $3,000
$3,001 to $5,000
$5,001 to $10,000
$10,001 to $25,000
$25,001 to $100,000
$100,001 to $1,000,000
$1,000,001 or more?
DON’T KNOW /REFUSED
F2 series asked of up to 10 owner-operators.
f2_owner_amt_eq_invest_02_0
f2_owner_amt_eq_invest_03_0
f2_owner_amt_eq_invest_04_0
f2_owner_amt_eq_invest_05_0
f2_owner_amt_eq_invest_06_0
f2_owner_amt_eq_invest_07_0
f2_owner_amt_eq_invest_08_0
f2_owner_amt_eq_invest_09_0
f2_owner_amt_eq_invest_10_0
f2_ownr_amt_eqinvest_range_02_0
f2_ownr_amt_eqinvest_range_03_0
f2_ownr_amt_eqinvest_range_04_0
f2_ownr_amt_eqinvest_range_05_0
f2_ownr_amt_eqinvest_range_06_0
f2_ownr_amt_eqinvest_range_07_0
f2_ownr_amt_eqinvest_range_08_0
f2_ownr_amt_eqinvest_range_09_0
f2_ownr_amt_eqinvest_range_10_0 |
IF SOLE PROPRIETORSHIP AT QUESTION B2a, GO TO F7a.
F3. Equity investment is money received in return for some portion of ownership, and it is another way to fund business expenses. During calendar year 2004, did the business obtain equity financing from any of the following sources? |
a. Spouses or life partners of owners of the business. This does not include spouses or life partners already named as owners
b. Parents, in-laws or children of owners of the business
c. Individuals who are not spouses or life partners, parents, in-laws or children of the owners, excluding venture capitalists
d. Other companies
e. Government agencies
f. Venture capitalists
g. Any other sources? (SPECIFY)
f3a_eq_invest_spouse_0
f3b_eq_invest_parents_0
f3c_eq_invest_angels_0
f3d_eq_invest_companies_0
f3e_eq_invest_govt_0
f3f_eq_invest_vent_cap_0
f3g_eq_invest_other_0 |
| F4. FOR EACH EQUITY FINANCING OPTION REPORTED AS “YES” ABOVE, ASK: In calendar year 2004, how much money did [NAME BUSINESS] receive from [EQUITY OPTION]? |
CALENDAR YEAR 2004 AMOUNT FROM EQUITY OPTION
DON’T KNOW/REFUSED
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES
$500 or less
$501 to $1,000
$1,001 to $3,000
$3,001 to $5,000
$5,001 to $10,000
$10,001 to $25,000
$25,001 to $100,000
$100,001 to $1,000,000
$1,000,001 or more?
DON’T KNOW /REFUSED
f4_eq_amt_angels_0
f4_eq_amt_companies_0
f4_eq_amt_govt_0
f4_eq_amt_other_0
f4_eq_amt_parents_0
f4_eq_amt_spouse_0
f4_eq_amt_vent_cap_0
f4a_eq_amt_angels_ranges_0
f4a_eq_amt_companies_ranges_0
f4a_eq_amt_govt_ranges_0
f4a_eq_amt_other_ranges_0
f4a_eq_amt_parents_ranges_0
f4a_eq_amt_spouse_ranges_0
f4a_eq_amt_vent_cap_ranges_0 |
F5. FOR EACH EQUITY FINANCING OPTION REPORTED AS “YES” ABOVE, ASK:
What percentage of the business was owned by the [EQUITY OPTION] who invested money in the business as of December 31, 2004? |
PERCENT
DON’T KNOW / REFUSED
f5_perc_owned_angels_0
f5_perc_owned_companies_0
f5_perc_owned_govt_0
f5_perc_owned_other_0
f5_perc_owned_parents_0
f5_perc_owned_spouse_0
f5_perc_owned_vent_cap_0
INTERVIEWER CHECK BOX : CHECK ANSWER FROM F2b, F2e, F2g, F2i, AND F5 FOR TOTAL PERCENTAGE OF BUSINESS ACCOUNTED FOR.
IF TOTAL PERCENTAGE EQUALS 100%, GO TO F7a
IF TOTAL EQUALS LESS OR MORE THAN 100%, GO TO F6 |
F6. So far, you’ve given me the following information on who owns [NAME BUSINESS]: [LIST EQUITY INVESTORS FROM F2b, F2e, F2g, F2i, AND F5]. Can we review this list?
REVIEW LIST OF OWNERS AND PERCENTAGES WITH RESPONDENT. MAKE CHANGES AS NEEDED, ADDING NEW OWNERS AND/OR PERCENTAGES AS NECESSARY. |
f6_perc_owned_owner_01_0
f6_perc_owned_owner_02_0
f6_perc_owned_owner_03_0
f6_perc_owned_owner_04_0
f6_perc_owned_owner_05_0
f6_perc_owned_owner_06_0
f6_perc_owned_owner_07_0
f6_perc_owned_owner_08_0
f6_perc_owned_owner_09_0
f6_perc_owned_owner_10_0
f6_perc_owned_owner_11_0
f6check_0 |
F7a. Another way to finance a business is debt financing. Debt is money borrowed that has to be paid back with or without interest.
I’m going to ask you about some different types of debt financing you may have used on behalf of [NAME BUSINESS] to finance the operation of the business. For each, please tell me if you used this type at any time during calendar year 2004. Did you use (READ ITEM)? |
YES/NO/DON’T KNOW / REFUSED
a. Personal credit cards for business-related purposes
b. Personal loans from a bank or other financial institution, such as a mortgage or home equity loan used for the business
c. Business or corporate credit cards issued in your name
d. Personal loans from any family or friends
e. Personal loans from any other individuals not associated with the management of the business
f. Any other sources? (SPECIFY)
f7_pers_other_specify_0
f7a_bus_credcard_0
f7a_pers_credcard_0
f7a_pers_loan_bank_0
f7a_pers_loan_fam_0
f7a_pers_loan_other_0
f7a_pers_other_0 |
| F7b. IN BELOW LIST, FOR EACH DEBT FINANCING OPTION BUSINESS REPORTED AS HAVING USED IN 2004, ASK: How many [NAME DEBT FINANCING OPTION] did you use to finance the operation of the business during calendar year 2004? |
NUMBER USED
a. Personal credit cards for business-related purposes
b. Personal loans from a bank or other financial institution, such as a mortgage or home equity loan used for the business
c. Business or corporate credit cards issued in your name
d. Personal loans from any family or friends
e. Personal loans from any other individuals not associated with the management of the business
f. Any other sources? (SPECIFY)
f7b_bus_credcard_numused_0
f7b_pers_credcard_numused_0
f7b_pers_loan_bank_numused_0
f7b_pers_loan_fam_numused_0
f7b_pers_loan_other_numused_0
f7b_pers_other_numused_0 |
| F8a. IF ANSWERED “YES” TO F7a ITEMS a, c, ASK: As of December 31, 2004, what was the maximum credit line on the [NAME DEBT FINANCING OPTION]? |
DECEMBER 31, 2004 CREDIT LINE
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES
$500 or less
$501 to $1,000
$1,001 to $3,000
$3,001 to $5,000
$5,001 to $10,000
$10,001 to $25,000
$25,001 to $100,000
$100,001 to $1,000,000
$1,000,001 or more?
DON’T KNOW /REFUSED
f8a_bus_credcard_line_0
f8a_bus_credcard_line_ranges_0
f8a_pers_credcard_line_0
f8a_pers_credcard_line_ranges_0 |
| F8b. IF ANSWERED “YES” TO F7a ITEMS a, c, ASK: As of December 31, 2004, what was the outstanding balance on the [NAME DEBT FINANCING OPTION]? |
DECEMBER 31, 2004 OUTSTANDING CREDIT CARD BALANCE
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES
$500 or less
$501 to $1,000
$1,001 to $3,000
$3,001 to $5,000
$5,001 to $10,000
$10,001 to $25,000
$25,001 to $100,000
$100,001 to $1,000,000
$1,000,001 or more?
DON’T KNOW /REFUSED
f8b_bus_credcard_bal_0
f8b_bus_credcard_bal_ranges_0
f8b_pers_credcard_bal_0
f8b_pers_credcard_bal_ranges_0 |
| F8c. IF ANSWERED “YES” TO F7a ITEMS b, d, e, f, ASK: In calendar year 2004, how much was obtained from the [NAME DEBT FINANCING OPTION]? |
CALENDAR YEAR 2004 DEBT AMOUNT
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES
$500 or less
$501 to $1,000
$1,001 to $3,000
$3,001 to $5,000
$5,001 to $10,000
$10,001 to $25,000
$25,001 to $100,000
$100,001 to $1,000,000
$1,000,001 or more?
DON’T KNOW /REFUSED
f8c_pers_loan_bank_amt_0
f8c_pers_loan_bank_amt_ranges_0
f8c_pers_loan_fam_amt_0
f8c_pers_loan_fam_amt_ranges_0
f8c_pers_loan_other_amt_0
f8c_pers_loan_other_amt_ranges_0
f8c_pers_other_amt_0
f8c_pers_other_amt_ranges_0 |
|
IF MORE THAN ONE OWNER, ASK F9a. OTHERWISE, GO TO F11a.
F9a. Now I’m going to ask you about some different types of debt financing that other owners of [NAME BUSINESS] may have used on behalf of the business. During calendar year 2004, did any of the other owners of [NAME BUSINESS] use (READ ITEM)? |
Yes/NO/DON’T KNOW / REFUSED
a. Personal credit cards for business-related purposes
b. Personal loans from a bank or other financial institution, such as a mortgage or home equity loan used for the business
c. Business or corporate credit cards issued in the other owner’s name(s)
d. Personal loans from any family or friends
e. Personal loans from any other individuals not associated with the management of the business
f. Any other sources? (SPECIFY)
f9a_bus_credcard_0
f9a_pers_credcard_0
f9a_pers_loan_bank_0
f9a_pers_loan_fam_0
f9a_pers_loan_other_0
f9a_pers_other_0
f9_pers_other_specify_0 |
| F9b. IN BELOW LIST, FOR EACH DEBT FINANCING OPTION BUSINESS REPORTED AS HAVING USED IN 2004, ASK: How many [NAME DEBT FINANCING OPTION] did other owners use to finance the operation of the business during calendar year 2004? |
NUMBER USED
a. Personal credit cards for business-related purposes
b. Personal loans from a bank or other financial institution, such as a mortgage or home equity loan used for the business
c. Business or corporate credit cards issued in the other owner’s name(s)
d. Personal loans from any family or friends
e. Personal loans from any other individuals not associated with the management of the business
f. Any other sources? (SPECIFY)
f9b_bus_credcard_numused_0
f9b_pers_credcard_numused_0
f9b_pers_loan_bank_numused_0
f9b_pers_loan_fam_numused_0
f9b_pers_loan_other_numused_0
f9b_pers_other_numused_0 |
| F10a. IF ANSWERED “YES” TO F9a ITEMS a, c, ASK: As of December 31, 2004, what was the maximum credit line on the [NAME DEBT FINANCING OPTION] of (one of) the other owner(s)? |
DECEMBER 31, 2004 CREDIT LINE
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES
$500 or less
$501 to $1,000
$1,001 to $3,000
$3,001 to $5,000
$5,001 to $10,000
$10,001 to $25,000
$25,001 to $100,000
$100,001 to $1,000,000
$1,000,001 or more?
DON’T KNOW /REFUSED
f10a_bus_credcard_line_0
f10a_bus_credcard_line_ranges_0
f10a_pers_credcard_line_0
f10a_pers_credcard_line_ranges_0 |
| F10b. IF ANSWERED “YES” TO F9a ITEMS a, c, ASK: As of December 31, 2004, what was the outstanding balance on the [NAME DEBT FINANCING OPTION] used by (one of) the other owner(s)? |
DECEMBER 31, 2004 OUTSTANDING CREDIT CARD BALANCE
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES
$500 or less
$501 to $1,000
$1,001 to $3,000
$3,001 to $5,000
$5,001 to $10,000
$10,001 to $25,000
$25,001 to $100,000
$100,001 to $1,000,000
$1,000,001 or more?
DON’T KNOW /REFUSED
f10b_bus_credcard_bal_0
f10b_bus_credcard_bal_ranges_0
f10b_pers_credcard_bal_0
f10b_pers_credcard_bal_ranges_0 |
| F10c. IF ANSWERED “YES” TO F9a, ITEMS b, d, e, f, ASK: In calendar year 2004, how much was obtained from the [NAME DEBT FINANCING OPTION] other owners used? |
CALENDAR YEAR 2004 DEBT AMOUNT
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES
$500 or less
$501 to $1,000
$1,001 to $3,000
$3,001 to $5,000
$5,001 to $10,000
$10,001 to $25,000
$25,001 to $100,000
$100,001 to $1,000,000
$1,000,001 or more?
DON’T KNOW /REFUSED
f10c_pers_loan_bank_amt_0
f10c_pers_loan_bank_amt_ranges_0
f10c_pers_loan_fam_amt_0
f10c_pers_loan_fam_amt_ranges_0
f10c_pers_loan_other_amt_0
f10c_pers_other_amt_0
f10c_pers_other_amt_ranges_0
f10c_persloan_other_amt_range_0 |
| F11a. Now I’m going to ask you about some different types of debt financing that may have been obtained in the name of the business. Not including any personal debt obtained on behalf of the business, did [NAME BUSINESS] use (READ ITEM) during calendar year 2004? |
Yes/NO/DON’T KNOW / REFUSED
a. Business or corporate credit cards issued in the name of the business
b. Business loans from a commercial bank
c. Business line of credit (READ IF NEEDED: a business line of credit is when a business has an agreement with a bank or other financial institution to borrow up to a certain amount of funds)
d. Business loans from a non-bank financial institution
e. Business loans from any family or friends of the owners
f. Business loans from another owner of the business or a partner
g. [IF HAVE EMPLOYEES AT C5] Loans to the business from employees that are not owners of the business
h. Loans from government agencies
i. Loans from other businesses
j. Business loans from any other individuals not associated with the management of the business
k. Any other sources? (SPECIFY)
f11_bus_other_specify_0
f11a_bus_cred_line_0
f11a_bus_credcard_0
f11a_bus_loans_bank_0
f11a_bus_loans_emp_0
f11a_bus_loans_fam_0
f11a_bus_loans_govt_0
f11a_bus_loans_nonbank_0
f11a_bus_loans_other_bus_0
f11a_bus_loans_other_ind_0
f11a_bus_loans_owner_0
f11a_bus_other_0 |
| F11b. IN BELOW LIST, FOR EACH DEBT FINANCING OPTION BUSINESS REPORTED AS HAVING USED IN 2004, ASK: How many [NAME DEBT FINANCING OPTION] did the business use to finance the operation or the business during calendar year 2004? |
NUMBER USED
a. Business or corporate credit cards issued in the name of the business
b. Business loans from a commercial bank
c. Business line of credit (READ IF NEEDED: a business line of credit is when a business has an agreement with a bank or other financial institution to borrow up to a certain amount of funds)
d. Business loans from a non-bank financial institution
e. Business loans from any family or friends of the owners
f. Business loans from another owner of the business or a partner
g. [IF HAVE EMPLOYEES AT C5] Loans to the business from employees that are not owners of the business
h. Loans from government agencies
i. Loans from other businesses
j. Business loans from any other individuals not associated with the management of the business
k. Any other sources? (SPECIFY)
f11a_busloans_otherbus_numused_0
f11b_bus_cred_line_numused_0
f11b_bus_credcard_numused_0
f11b_bus_loans_bank_numused_0
f11b_bus_loans_emp_numused_0
f11b_bus_loans_fam_numused_0
f11b_bus_loans_govt_numused_0
f11b_bus_loans_nonbank_numused_0
f11b_bus_loans_owner_numused_0
f11b_bus_other_numused_0
f11b_busloans_otherind_numused_0 |
| F12a. IF ANSWERED “YES” TO F11a ITEMS a, c, ASK: As of December 31, 2004, what was the maximum credit line on the [NAME DEBT FINANCING OPTION]? |
DECEMBER 31, 2004 CREDIT LINE
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES
$500 or less
$501 to $1,000
$1,001 to $3,000
$3,001 to $5,000
$5,001 to $10,000
$10,001 to $25,000
$25,001 to $100,000
$100,001 to $1,000,000
$1,000,001 or more?
DON’T KNOW /REFUSED
f12a_bus_cred_line_0
f12a_bus_cred_line_ranges_0
f12a_bus_credcard_line_0
f12a_bus_credcard_line_ranges_0 |
| F12b. IF ANSWERED “YES” TO F11a ITEMS a, c, ASK: As of December 31, 2004, what was the outstanding balance on the [NAME DEBT FINANCING OPTION]? |
DECEMBER 31, 2004 OUTSTANDING CREDIT BALANCE
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES
$500 or less
$501 to $1,000
$1,001 to $3,000
$3,001 to $5,000
$5,001 to $10,000
$10,001 to $25,000
$25,001 to $100,000
$100,001 to $1,000,000
$1,000,001 or more?
DON’T KNOW /REFUSED
f12b_bus_cred_line_bal_0
f12b_bus_cred_line_bal_ranges_0
f12b_bus_credcard_bal_0
f12b_bus_credcard_bal_ranges_0 |
| F12c. IF ANSWERED “YES” TO F11a ITEMS b, d-k, ASK: In calendar year 2004, how much was the amount obtained from [NAME DEBT FINANCING OPTION] used by [NAME BUSINESS]? |
CALENDAR YEAR 2004 DEBT AMOUNT
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES
$500 or less
$501 to $1,000
$1,001 to $3,000
$3,001 to $5,000
$5,001 to $10,000
$10,001 to $25,000
$25,001 to $100,000
$100,001 to $1,000,000
$1,000,001 or more?
DON’T KNOW /REFUSED
f12c_bus_loans_bank_amt_0
f12c_bus_loans_bank_amt_ranges_0
f12c_bus_loans_bus_amt_0
f12c_bus_loans_bus_amt_ranges_0
f12c_bus_loans_emp_amt_0
f12c_bus_loans_emp_amt_ranges_0
f12c_bus_loans_fam_amt_0
f12c_bus_loans_fam_amt_ranges_0
f12c_bus_loans_govt_amt_0
f12c_bus_loans_govt_amt_ranges_0
f12c_bus_loans_nonbank_amt_0
f12c_busloans_nonbnk_amt_range_0
f12c_bus_loans_other_ind_amt_0
f12c_busloans_other_ind_range_0
f12c_bus_loans_owner_amt_0
f12c_busloans_owner_amt_range_0
f12c_bus_other_amt_0
f12c_bus_other_amt_ranges_0 |
| F13. Trade financing is where a business has an arrangement with a supplier to make purchases on account. In calendar year 2004, did [NAME BUSINESS] make any purchases through trade financing? |
YES
NO / DON’T KNOW / REFUSED
f13_trade_fin_0 |
GO TO F15 |
| F14. IF YES: In calendar year 2004, what was the amount of purchases made through trade financing? |
CALENDAR YEAR 2004 AMOUNT OF TRADE CREDIT
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES
$500 or less
$501 to $1,000
$1,001 to $3,000
$3,001 to $5,000
$5,001 to $10,000
$10,001 to $25,000
$25,001 to $100,000
$100,001 to $1,000,000
$1,000,001 or more?
DON’T KNOW /REFUSED
f14a_trade_fin_amt_0
f14a_trade_fin_amt_ranges_0 |
| F15. In calendar year 2004, did [NAME BUSINESS] receive any revenue (money), from the sales of goods, services, or intellectual property? [IF SOLE PROPRIETORSHIP, ADD: This would be gross receipts reported on a Schedule C or C-EZ with your personal income tax return.] |
YES
NO / DON’T KNOW / REFUSED
f15_revenue_2004_0 |
GO TO F17 |
| F16. What was [NAME BUSINESS]’s total revenue for calendar year 2004? |
TOTAL REVENUE
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES
$500 or less
$501 to $1,000
$1,001 to $3,000
$3,001 to $5,000
$5,001 to $10,000
$10,001 to $25,000
$25,001 to $100,000
$100,001 to $1,000,000
$1,000,001 or more?
DON’T KNOW /REFUSED
f16a_rev_2004_amt_0
f16b_rev_2004_amt_ranges_0 |
| F17. Now I’m going to ask about the expenses the business paid. Expenses are the costs paid for the operation of the business, including wages, salaries, interest on loans, capital leases, materials, etc. How much, if any, did [NAME BUSINESS] pay in expenses during calendar year 2004? |
TOTAL EXPENSES IN CALENDAR YEAR 2004
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES
$500 or less
$501 to $1,000
$1,001 to $3,000
$3,001 to $5,000
$5,001 to $10,000
$10,001 to $25,000
$25,001 to $100,000
$100,001 to $1,000,000
$1,000,001 or more?
DON’T KNOW /REFUSED
f17a_total_exp_2004_amt_0
f17b_total_exp_2004_amt_ranges_0 |
F18. IF BUSINESS REPORTED “0” EMPLOYEES AT C5, GO TO F19.
How much, if any, did [NAME BUSINESS] pay in wages, salaries, and benefits to full and part-time employees in calendar year 2004? Please do not include wages, salaries, and benefits to contract workers who work for the business but are not on the business’ official payroll. |
TOTAL PAYROLL EXPENSES IN CALENDAR YEAR 2004
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES
$500 or less
$501 to $1,000
$1,001 to $3,000
$3,001 to $5,000
$5,001 to $10,000
$10,001 to $25,000
$25,001 to $100,000
$100,001 to $1,000,000
$1,000,001 or more?
DON’T KNOW /REFUSED
f18a_wage_exp_2004_amt_0
f18b_wage_exp_2004_amt_ranges_0 |
| F19. Did [NAME BUSINESS] spend any money on research and development of new products and services during calendar year 2004? |
YES
NO / DON’T KNOW / REFUSED
f19_res_dev_0 |
|
| F20. Did [NAME BUSINESS] spend any money on the purchase of new or used machinery or equipment during calendar year 2004? |
YES
NO / DON’T KNOW / REFUSED
f20_mach_0 |
|
| F21. Did [NAME BUSINESS] spend any money on rental or lease payments for buildings or other structures during calendar year 2004? |
YES
NO / DON’T KNOW / REFUSED
f21_land_rent_0 |
| F22. Did [NAME BUSINESS] spend any money on rental or lease payments for machinery or equipment during calendar year 2004? |
YES
NO / DON’T KNOW / REFUSED
f22_mach_rent_0 |
| F23. Did [NAME BUSINESS] have a profit or loss in calendar year 2004? |
PROFIT GO TO F24
LOSS GO TO F26
f23_profit_or_loss_0
IF F23 = 01 AND F15 = 00:
I may have made a mistake. Earlier in the interview, I recorded that [NAME BUSINESS] did not have any revenue in calendar year 2004. Is there an error?
|
F24. Profit is the business’ income after all expenses and taxes have been deducted.
What was [NAME BUSINESS]’s total profit for calendar year 2004
|
TOTAL PROFIT IN CALENDAR YEAR 2004
f24_profit_amt_0 |
| F25. IF DON’T KNOW OR REFUSED, PROBE WITH RANGES |
$500 or less
$501 to $1,000
$1,001 to $3,000
$3,001 to $5,000
$5,001 to $10,000
$10,001 to $25,000
$25,001 to $100,000
$100,001 to $1,000,000
$1,000,001 or more?
DON’T KNOW /REFUSED
f25_profit_amt_ranges_0 |
F26. Loss is the business’ negative income after all expenses and taxes have been deducted. What was [NAME BUSINESS]’s total loss for calendar year 2004
|
|
TOTAL LOSS IN CALENDAR YEAR 2004
f26_loss_amt_0 |
| F27. IF DON’T KNOW OR REFUSED, PROBE WITH RANGES |
$500 or less
$501 to $1,000
$1,001 to $3,000
$3,001 to $5,000
$5,001 to $10,000
$10,001 to $25,000
$25,001 to $100,000
$100,001 to $1,000,000
$1,000,001 or more?
DON’T KNOW /REFUSED
f27_loss_amt_ranges_0 |
| F28. Assets are what the business owns. As of December 31, 2004, did [NAME BUSINESS]’s assets include [NAME ASSET FROM LIST]? |
a. Cash on hand in checking, savings, money market accounts, certificates of deposit and other time deposits
b. Accounts receivable
c. Product inventory
d. Equipment or machinery
e. Land, buildings, and other structures
f. Vehicles
g. Any other business owned property (SPECIFY)
h. Any other assets? (SPECIFY)
f28_other_bus_prop_specify_0
f28_other_specify_0
f28a_asset_cash_0
f28b_asset_acct_rec_0
f28c_asset_inv_0
f28d_asset_equip_0
f28e_asset_landbuild_0
f28f_asset_veh_0
f28g_other_bus_prop_0
f28h_other_assets_0 |
F29. FOR EACH ASSET BUSINESS HAS, ASK:
As of December 31, 2004, what was the estimated value of the [NAME OF ASSET] owned by [NAME BUSINESS]? |
ASSET VALUE AS OF DECEMBER 31, 2004
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES
$500 or less
$501 to $1,000
$1,001 to $3,000
$3,001 to $5,000
$5,001 to $10,000
$10,001 to $25,000
$25,001 to $100,000
$100,001 to $1,000,000
$1,000,001 or more?
DON’T KNOW /REFUSED
f29_assetval_acctrec_0
f29_assetval_acctrec_ranges_0
f29_assetval_cash_0
f29_assetval_cash_ranges_0
f29_assetval_equip_0
f29_assetval_equip_ranges_0
f29_assetval_inv_0
f29_assetval_inv_ranges_0
f29_assetval_landbuild_0
f29_assetval_landbuild_ranges_0
f29_assetval_othbusprop_0
f29_assetval_othbusprop_ranges_0
f29_assetval_other_0
f29_assetval_other_ranges_0
f29_assetval_veh_0
f29_assetval_veh_ranges_0 |
| F30. Liabilities are what the business owes. Other than the loans and the financial debt we’ve already talked about, did [NAME BUSINESS]’s liabilities as of December 31, 2004 include [NAME LIABILITY FROM LIST]? |
YES/NO/DON’T KNOW/REFUSED
a. Accounts Payable
b. Pension and post retirement benefits
c. Any other liabilities? (SPECIFY)
f30a_liab_acctpay_0
f30b_liab_pension_0
f30c_liab_other_0
f3_other_specify_0
f30_other_specify_0 |
| F31. FOR EACH LIABILITY BUSINESS HAS, ASK: As of December 31, 2004, what was the estimated value of [NAME BUSINESS]’s [NAME OF LIABILITY]? |
LIABILITY VALUE AS OF DECEMBER 31, 2004
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES
$500 or less
$501 to $1,000
$1,001 to $3,000
$3,001 to $5,000
$5,001 to $10,000
$10,001 to $25,000
$25,001 to $100,000
$100,001 to $1,000,000
$1,000,001 or more?
DON’T KNOW /REFUSED
f31_value_acctpay_0
f31_value_acctpay_ranges_0
f31_value_other_0
f31_value_other_ranges_0
f31_value_pension_0
f31_value_pension_ranges_0 |
 G. Work Behaviors and Demographics of Owner(s)
| The last few questions are for classification purposes only. |
| |
|
| G1a. (Are/Is) (you/[OWNER B-J]) also a paid employee at [NAME BUSINESS]? |
YES / NO / DON’T KNOW / REFUSED
g1a_emp_owner_01_0
g1a_emp_owner_02_0
g1a_emp_owner_03_0
g1a_emp_owner_04_0
g1a_emp_owner_05_0
g1a_emp_owner_06_0
g1a_emp_owner_07_0
g1a_emp_owner_08_0
g1a_emp_owner_09_0
g1a_emp_owner_10_0 |
| G1b. During the time [NAME BUSINESS] was in business during 2004, how many hours in an average week did (you/[owner B-J]) spend working at [NAME BUSINESS]? |
HOURS WORKED IN AVERAGE WEEK
IF DON’T KNOW OR REFUSED PROBE: Would you say it was . . .
Less than 20 hours,
20 hours to 35 hours,
36 hours to 45 hours,
46 hours to 55 hours,
56 hours to 65 hours,
66 hours or more?
DON’T KNOW / REFUSED
g1b1_hours_owner_01_0
g1b1_hours_owner_02_0
g1b1_hours_owner_03_0
g1b1_hours_owner_04_0
g1b1_hours_owner_05_0
g1b1_hours_owner_06_0
g1b1_hours_owner_07_0
g1b1_hours_owner_08_0
g1b1_hours_owner_09_0
g1b1_hours_owner_10_0
g1b2_hours_ranges_owner_01_0
g1b2_hours_ranges_owner_02_0
g1b2_hours_ranges_owner_03_0
g1b2_hours_ranges_owner_04_0
g1b2_hours_ranges_owner_05_0
g1b2_hours_ranges_owner_06_0
g1b2_hours_ranges_owner_07_0
g1b2_hours_ranges_owner_08_0
g1b2_hours_ranges_owner_09_0
g1b2_hours_ranges_owner_10_0 |
|
| G2. How many years of work experience (have/has) (you/[OWNER B-J]) had in this industry—the one in which [NAME BUSINESS] competes? |
YEARS
DON’T KNOW / REFUSED
g2_work_exp_owner_01_0
g2_work_exp_owner_02_0
g2_work_exp_owner_03_0
g2_work_exp_owner_04_0
g2_work_exp_owner_05_0
g2_work_exp_owner_06_0
g2_work_exp_owner_07_0
g2_work_exp_owner_08_0
g2_work_exp_owner_09_0
g2_work_exp_owner_10_0 |
| G3a. How many other new businesses (have/has) (you/[OWNER B-J]) started besides [NAME BUSINESS]? |
NUMBER OF BUSINESSES
(ENTER “0” FOR NONE)
g3a_oth_bus_owner_01_0
g3a_oth_bus_owner_02_0
g3a_oth_bus_owner_03_0
g3a_oth_bus_owner_04_0
g3a_oth_bus_owner_05_0
g3a_oth_bus_owner_06_0
g3a_oth_bus_owner_07_0
g3a_oth_bus_owner_08_0
g3a_oth_bus_owner_09_0
g3a_oth_bus_owner_10_0 |
IF ZERO NEW BUSINESSES AT G3a, GO TO G4.
G3b. (Was this/Were any of the) business(es) in the same industry as [NAME BUSINESS]? |
YES / NO / DON’T KNOW / REFUSED
g3b_bus_same_ind_owner_01_0
g3b_bus_same_ind_owner_02_0
g3b_bus_same_ind_owner_03_0
g3b_bus_same_ind_owner_04_0
g3b_bus_same_ind_owner_05_0
g3b_bus_same_ind_owner_06_0
g3b_bus_same_ind_owner_07_0
g3b_bus_same_ind_owner_08_0
g3b_bus_same_ind_owner_09_0
g3b_bus_same_ind_owner_10_0 |
| G4. How old will (you/[OWNER B-J]) be on (your/his/her) next birthday? |
OWNER A
DON’T KNOW / REFUSED
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES: Would you say . . .
18-24
25-34
35-44
45-54
55-64
65-74
75 or older?
DON’T KNOW / REFUSED
g4_age_owner_01_0
g4_age_owner_02_0
g4_age_owner_03_0
g4_age_owner_04_0
g4_age_owner_05_0
g4_age_owner_06_0
g4_age_owner_07_0
g4_age_owner_08_0
g4_age_owner_09_0
g4_age_owner_10_0
g4a_age_ranges_owner_01_0
g4a_age_ranges_owner_02_0
g4a_age_ranges_owner_03_0
g4a_age_ranges_owner_04_0
g4a_age_ranges_owner_05_0
g4a_age_ranges_owner_06_0
g4a_age_ranges_owner_07_0
g4a_age_ranges_owner_08_0
g4a_age_ranges_owner_09_0
g4a_age_ranges_owner_10_0 |
| G5. Are/Is) (you/[OWNER B-J]) of Hispanic or Latino origin? |
YES
NO
DON’T KNOW / REFUSED
g5_hisp_origin_owner_01_0
g5_hisp_origin_owner_02_0
g5_hisp_origin_owner_03_0
g5_hisp_origin_owner_04_0
g5_hisp_origin_owner_05_0
g5_hisp_origin_owner_06_0
g5_hisp_origin_owner_07_0
g5_hisp_origin_owner_08_0
g5_hisp_origin_owner_09_0
g5_hisp_origin_owner_10_0 |
| G6. I am going to read a list of race categories. Please choose one or more that best describes (your/[OWNER B-J]’s) race. Are (you [OWNER B-J]) American Indian or Alaska Native, Native Hawaiian or other Pacific Islander, Asian, Black or African American, or White? |
AMERICAN INDIAN OR ALASKA NATIVE
NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER
ASIAN
BLACK OR AFRICAN AMERICAN
WHITE
OTHER (SPECIFY)
DON’T KNOW / REFUSED
g6_race_amind_owner_01_0
g6_race_amind_owner_02_0
g6_race_amind_owner_03_0
g6_race_amind_owner_04_0
g6_race_amind_owner_05_0
g6_race_amind_owner_06_0
g6_race_amind_owner_07_0
g6_race_amind_owner_08_0
g6_race_amind_owner_09_0
g6_race_amind_owner_10_0
g6_race_asian_owner_01_0
g6_race_asian_owner_02_0
g6_race_asian_owner_03_0
g6_race_asian_owner_04_0
g6_race_asian_owner_05_0
g6_race_asian_owner_06_0
g6_race_asian_owner_07_0
g6_race_asian_owner_08_0
g6_race_asian_owner_09_0
g6_race_asian_owner_10_0
g6_race_black_owner_01_0
g6_race_black_owner_02_0
g6_race_black_owner_03_0
g6_race_black_owner_04_0
g6_race_black_owner_05_0
g6_race_black_owner_06_0
g6_race_black_owner_07_0
g6_race_black_owner_08_0
g6_race_black_owner_09_0
g6_race_black_owner_10_0
g6_race_nathaw_owner_01_0
g6_race_nathaw_owner_02_0
g6_race_nathaw_owner_03_0
g6_race_nathaw_owner_04_0
g6_race_nathaw_owner_05_0
g6_race_nathaw_owner_06_0
g6_race_nathaw_owner_07_0
g6_race_nathaw_owner_08_0
g6_race_nathaw_owner_09_0
g6_race_nathaw_owner_10_0
g6_race_other_owner_01_0
g6_race_other_owner_02_0
g6_race_other_owner_03_0
g6_race_other_owner_04_0
g6_race_other_owner_05_0
g6_race_other_owner_06_0
g6_race_other_owner_07_0
g6_race_other_owner_08_0
g6_race_other_owner_09_0
g6_race_other_owner_10_0
g6_race_white_owner_01_0
g6_race_white_owner_02_0
g6_race_white_owner_03_0
g6_race_white_owner_04_0
g6_race_white_owner_05_0
g6_race_white_owner_06_0
g6_race_white_owner_07_0
g6_race_white_owner_08_0
g6_race_white_owner_09_0
g6_race_white_owner_10_0
g6_otherspecify_owner_01_0
g6_otherspecify_owner_02_0
g6_otherspecify_owner_03_0
g6_otherspecify_owner_04_0
g6_otherspecify_owner_05_0
g6_otherspecify_owner_06_0
g6_otherspecify_owner_07_0
g6_otherspecify_owner_08_0
g6_otherspecify_owner_09_0
g6_otherspecify_owner_10_0 |
| G7. (Were/Was) (you/[OWNER B-J]) born in the United States? |
YES GO TO G9
NO / DON’T KNOW / REFUSED
g7_native_born_owner_01_0
g7_native_born_owner_02_0
g7_native_born_owner_03_0
g7_native_born_owner_04_0
g7_native_born_owner_05_0
g7_native_born_owner_06_0
g7_native_born_owner_07_0
g7_native_born_owner_08_0
g7_native_born_owner_09_0
g7_native_born_owner_10_0 |
| G8. (Are/Is) (you/[OWNER B-J]) a U.S. citizen? |
YES
NO / DON’T KNOW / REFUSED
g8_us_cit_owner_01_0
g8_us_cit_owner_02_0
g8_us_cit_owner_03_0
g8_us_cit_owner_04_0
g8_us_cit_owner_05_0
g8_us_cit_owner_06_0
g8_us_cit_owner_07_0
g8_us_cit_owner_08_0
g8_us_cit_owner_09_0
g8_us_cit_owner_10_0 |
|
| G9. What is the highest level of education (you/[OWNER B-J]) (have/has) completed so far? Would you say . . . |
Less than 9th grade
Some high school, but no diploma
High school graduate (diploma or equivalent diploma [GED]),
Technical, trade or vocational degree
Some college, but no degree
Associate’s degree
Bachelor’s degree
Some graduate school but no degree
Master’s degree
Professional school or doctorate?
DON’T KNOW / REFUSED
g9_education_owner_01_0
g9_education_owner_02_0
g9_education_owner_03_0
g9_education_owner_04_0
g9_education_owner_05_0
g9_education_owner_06_0
g9_education_owner_07_0
g9_education_owner_08_0
g9_education_owner_09_0
g9_education_owner_10_0 |
BY OBSERVATION:
G10. (Are/Is) (you/[OWNER B-J]) male or female? |
MALE
FEMALE
DON’T KNOW / REFUSED
g10_gender_owner_01_0
g10_gender_owner_02_0
g10_gender_owner_03_0
g10_gender_owner_04_0
g10_gender_owner_05_0
g10_gender_owner_06_0
g10_gender_owner_07_0
g10_gender_owner_08_0
g10_gender_owner_09_0
g10_gender_owner_10_0 |
|
| REPEAT ITEMS G1a TO G10 FOR ALL OWNERS
G11. The Kauffman Foundation is interested in how businesses develop and grow over time, so we would like to contact your business for future interviews. Can you give me an email address where you can be reached?
Email: @
DON’T KNOW / REFUSED
G12. Does [NAME BUSINESS] have its own website?
YES/NO
DON’T KNOW / REFUSED
G13. Can you give me the web address?
Web Address: .
DON’T KNOW / REFUSED
G14. Is the business likely to move to another location in the next 12 months?
YES/NO
DON’T KNOW / REFUSED
G15. What city and state is the business likely to move to?
CITY:
STATE:
DON’T KNOW / REFUSED
|
 H. Computed Group Variables
 The First Follow-Up
 A. Introduction
| INTRO: Hello, my name is ______________. I’m calling on behalf of the Kauffman Foundation of Kansas City. |
| |
| A1. May I speak with ([CEO/OWNER]/the owner or CEO of [NAME BUSINESS])? |
OWNER/CEO—PROCEED WITH INTERVIEW
OWNER/CEO—BAD TIME/CALL BACK GO TO A2a
OWNER/CEO NOT AVAILABLE GO TO A3
OWNER/CEO NO LONGER WITH BUSINESS
OWNER/CEO NOT AVAILABLE,OTHER OWNER AVAILABLE
BUSINESS NO LONGER IN OPERATION GO TO A10
DON’T KNOW /REFUSED |
|
A1a. We’d like to confirm that the name of the business is [NAME BUSINESS] and that [NAME BUSINESS] is still operating.
|
|
[NAME BUSINESS] IS THE CURRENT NAME AND [NAME BUSINESS] IS STILL OPERATING GO TO A1b
THE BUSINESS NAME IS INCORRECT GO TO A2Web
[NAME BUSINESS] IS OUT OF BUSINESS GO TO A10
DON’T KNOW / REFUSED
|
|
A1a1. We need to know the answer to this question to see if your business is eligible for the study.
A2a. I’m sorry. When would be a better time to reach (you/[OWNER])?
INTERVIEWER: ENTER CALLBACK DATE AND TIME.
READ: Is this the best number to reach you?
INTERVIEWER: UPDATE CONTACT INFORMATION AS NEEDED.
Thank you very much. Good-bye.
A2Web. What is the correct business name?
INTERVIEWER: TYPE IN BUSINESS NAME.
A3Web. Is this a corrected spelling, a name change but the same business, or a different business?
SPELLING CORRECTION GO TO BOX A4
NAME CHANGE/SAME COMPANY GO TO BOX A4
DIFFERENT COMPANY
A3Webz. We are trying to find out what happened to [NAME BUSINESS]. Is [NAME BUSINESS] still in operation?
YES GO TO A1b
NO GO TO A10
A3. Please tell me when [OWNER/CEO] will be available and I’ll call back later.
INTERVIEWER: ENTER CALLBACK DATE AND TIME.
READ: Is this the best number to reach (him/her)?
INTERVIEWER: UPDATE CONTACT INFORMATION AS NEEDED.
Thank you very much. Good-bye.
A4. Your business participated in the first year of the Kauffman Firm Study, which asked some questions about [NAME BUSINESS] for calendar year 2004. Now we’d like to ask about the year 2005. We’d like to confirm that the name of the business is [NAME BUSINESS] and that [NAME BUSINESS] is still operating.
[NAME BUSINESS] IS THE CURRENT NAME AND [NAME BUSINESS] IS STILL OPERATING GO TO A1b
THE BUSINESS NAME IS INCORRECT GO TO A2Web
[NAME BUSINESS] IS OUT OF BUSINESS GO TO A10
DON’T KNOW /REFUSED
IF NEEDED: We need to know the answer to this question to see if your business is eligible for the study.
INTERVIEWER: IF THE RESPONDENT CANNOT ANSWER THIS QUESTION, USE THE ARROW KEY TO GO BACK TO THE INTRO SCREEN AND CODE.
A1b. We’d like to confirm that you are [OWNER NAME] and you are you are still an owner of [NAME BUSINESS]?
[OWNER NAME] IS THE RESPONDENT AND IS STILL AN OWNER OF [NAME BUSINESS] GO TO A5
[OWNER NAME] IS THE RESPONDENT AND IS STILL AN OWNER OF [NAME BUSINESS], BUT CORRECT [OWNER NAME]’s NAME GO TO A1bn
RESPONDENT IS NOT [OWNER NAME] GO TO A4Webz
THE RESPONDENT [OWNER NAME] IS NO LONGER AN OWNER OF [NAME BUSINESS] GO TO A4new
DON’T KNOW / REFUSED
A4confirm. May I confirm that you are still an owner of [NAME BUSINESS]?
YES
NO GO TO A4new
A1c. We’d like to confirm that the title of you position is [OWNER TITLE] Is that correct?
YES GO TO A5
NO
A1d. What is your job title?
INTERVIEWER: ENTER JOB TITLE.
GO TO A5
A4Webz. Is [OWNER NAME] still an owner and actively involved in running [NAME BUSINESS]?
IF NEEDED: By actively involved, we mean providing regular assistance or advice with day-to-day operations of the business rather than providing only money or occasional operating assistance.
YES
NO GO TO A4new
DON’T KNOW / REFUSED
A4Webz1. Would [OWNER NAME] be available to do the study at another time?
YES GO TO A3
NO
DON’T KNOW / REFUSED
A1bn. What is your name?
INTERVIEWER: ENTER FIRST AND LAST NAME.
|
| |
A5. May I confirm that you are still actively involved in running [NAME BUSINESS]? By actively involved in running the business, we mean providing regular assistance or advice with day-to-day operations of the business rather than providing only money or occasional operating assistance.
a5_actively_involved_1 |
YES GO TO A8
NO / DON’T KNOW / REFUSED |
A5a. During the last interview with your business, we recorded other owners of [NAME BUSINESS]. Please tell me the person who is an owner of the firm, is actively involved in running [NAME BUSINESS], and will answer this study. By actively involved, we mean providing regular assistance or advice with day-to-day operations of the business rather than providing only money or occasional operating assistance.
READ THE OWNER NAMES BELOW. SELECT ONLY ONE.
NEW OWNER-OPERATOR WILL ANSWER
[NAME OWNER]
A5b. What is the title of [NAME OWNER]?
INTERVIEWER: ENTER JOB TITLE.
A5c. INTERVIEWER: READ IF NECESSARY.
Are you [NAME OWNER]?
YES
NO GO TO A2a
A4new. Your business participated in the first year of the Kauffman Firm Study, answering a series of questions about [NAME BUSINESS]’s operation in 2004. Because the Kauffman Foundation is studying how new businesses develop and grow, we’d like to ask about the experiences of [NAME BUSINESS] in the year 2005. Your answers will be kept confidential, and you will receive a $50 payment as a token of our appreciation.
A4anew. May I confirm that you are an owner of [NAME BUSINESS]?
YES
NO / DON’T KNOW / REFUSED GO TO A7
|
| |
| A5new. And are you actively involved in running [NAME BUSINESS]? By actively involved in running the business, we mean providing regular assistance or advice with day-to-day operations of the business rather than providing only money or occasional operating assistance. |
YES GO TO A8
NO
DON’T KNOW / REFUSED
A5New_Actively_involved_1 |
| A7. Is there another owner of [NAME BUSINESS]? |
YES GO BACK TO A2
NO / DON’T KNOW / REFUSED THANK AND TERMINATE |
| A8. I’d like to confirm your business’ mailing address. Is [NAME BUSINESS]’s mailing address (ADDRESS, CITY, STATE, ZIP)? |
YES GO TO C1z
NO
DON’T KNOW / REFUSED
A8_Addr_ver_1 |
A9. What is [NAME BUSINESS]’s correct mailing address?
INTERVIEWER: UPDATE MAILING ADDRESS INFORMATION. |
|
GO TO C1z
|
| A10. What is the main reason [NAME BUSINESS] is out of business? |
SOLD TO ANOTHER BUSINESS
MERGED WITH ANOTHER BUSINESS
TEMPORARILY STOPPED OPERATIONS
PERMANENTLY STOPPED OPERATIONS GO TO A11a
OTHER (SPECIFY)
DON’T KNOW / REFUSED
A10_Out_Of_Business_1
THANK AND TERMINATE
|
| A11a. Did [NAME BUSINESS] file for bankruptcy? |
|
YES
NO
DON’T KNOW/ REFUSED
A11a_Bankruptcy_1
THANK AND TERMINATE
|
 C. Business Characteristics
| All of the following questions I’m going to ask are about [NAME BUSINESS]. Some of the questions will ask to confirm information about your business which you provided to us previously. As we go through the interview, please tell me if any of the information about your business is incorrect and needs to be updated. |
| |
| C1z. Our records show that [NAME BUSINESS] had a legal status of [tOWNERshipModel]. As of December 31, 2005, is that still the legal status of [NAME BUSINESS]? |
YES GO TO C1a
NO
DON’T KNOW / REFUSED
C1z_Confirm_Legal_Status_1 |
| C1z2. I’m going to read you a list of some different forms of legal status a business can have. As of December 31, 2005, which form of legal status did [NAME BUSINESS] have? Was it a . . . |
Sole Proprietorship,
Limited Liability Company,
Subchapter S-Corporation,
C-Corporation,
General Partnership,
Limited Partnership, or
Something else? (SPECIFY)
DON’T KNOW / REFUSED
C1z2_Legal_Status_1 |
| C1a. As of December 31, 2004, our records indicate the principal activity of the business was [D&B NAICS CODE DESCRIPTION OR LAST YEAR’S OTHER SPECIFY TO THIS QUESTION]. Was that still the principal activity of the business as of December 31, 2005? |
YES GO TO C2
NO
DON’T KNOW / REFUSED
C1a_NAICS_verification_1 |
| C1b. As of December 31, 2005, what was the principal activity of the business? |
| IF SOLE PROPRIETORSHIP IN [tOWNERshipModel] [or C1z2], GO TO C5. |
| C2. As of December 31, 2005, how many individuals or entities owned [NAME BUSINESS]? Please include all individuals or entities who owned shares in the business. |
NUMBER OF OWNERS
DON’T KNOW / REFUSED
C2_Owners_1 |
| C3. Of the [NUMBER OF OWNERS FROM C2] owners as of December 31, 2005, how many owners actively helped to run [NAME BUSINESS]? By helped to run the business we mean that they provided regular assistance or advice with day-to-day operations of the business, rather than providing only money or occasional operating assistance. |
NUMBER OF OWNER/OPERATORS
DON’T KNOW/ REFUSED
C3a_Owner_ Operators_1 |
IF ONE OWNER/OPERATOR REPORTED AT C3, GO TO C5. IF MORE THAN ONE OWNER/OPERATOR REPORTED AT C3, ASK:
C4. FOR EACH BASELINE OWNER/OPERATOR WHO IS NOT THE RESPONDENT, ASK:
Was [OWNER NAME] still an owner who actively helped run [NAME BUSINESS]—as of December 31, 2005?
YES
NO
YES BUT THE NAME IS MISSPELLED
DON’T KNOW / REFUSED
FOR ALL MISSPELLED NAMES, ASK: How do you spell (your/his/her) name?
INTERVIEWER: ENTER NAME
THEN ASK:
How many other people, not previously listed, were owners actively helping to run [NAME BUSINESS] as of December 31, 2005?
INTERVIEWER: PREVIOUSLY LISTED PEOPLE ARE STATED BELOW. NUMBER OF OWNERS STATED IN C3: [FILL FROM C3]
I want to record with you the first and last names of these owners. These are people who joined the firm between December 31, 2004 and December 31, 2005. I’m going to be asking some questions about each of the owners who actively helped run [NAME BUSINESS]. Can you tell me the first and last name of the other owner(s) of [NAME BUSINESS]?
INTERVIEWER: ENTER FIRST AND LAST NAMES. |
C4Confirm.
I have listed:
FIRST NAME LAST NAME OWNER A (RESPONDENT) OWNER B OWNER C OWNER D
Are there any other owner-operators as of December 31, 2005 of [NAME BUSINESS] that I have not mentioned?
INTERVIEWER: CONFIRM SPELLING OF NAMES. TO CORRECT NAMES, ARROW BACK TO TABLE.
ADD ANOTHER NAME OR
CORRECT A MISSPELLING
NO CHANGES
NOTE: UP TO 10 OWNER/OPERATORS WILL BE INCLUDED.
C4_NumOwners_Confirm_1 |
| C5. Not counting owner(s), on December 31, 2005, how many people worked for [NAME BUSINESS]? Please include all full- and part-time employees, but exclude contract workers who work for the business either full- or part-time but are not on the business’ official payroll. |
NUMBER OF EMPLOYEES ON DECEMBER 31, 2005
DON’T KNOW /REFUSED
C5_Num_Employees_1 |
| C5b. Was this change an increase, a decrease, or no change in the number of people who worked for [NAME BUSINESS] on December 31, 2005 compared to December 31, 2004? |
INCREASE
DECREASE
NO CHANGE
DON’T KNOW / REFUSED
C5b_Num_Employees_Change_1 |
| C5c. And what was the (increase/decrease) in the number of people who worked for [NAME BUSINESS] on December 31, 2005 compared to December 31, 2004? Your best estimate is fine. |
CHANGE IN NUMBER OF EMPLOYEES
DON’T KNOW / REFUSED
C5c_Num_Employees_Change_Amt_1
IF BUSINESS REPORTED “0” EMPLOYEES AT C5, GO TO C8. |
| C6. . . . And of those [NUMBER FROM C5], how many were full-time? (IF NEEDED: Full time is considered 35 hours or more per week) |
NUMBER OF DECEMBER 31, 2005
FULL-TIME EMPLOYEES
DON’T KNOW / REFUSED
C6_Num_FT_Employees_1 |
| C7. . . . And how many were part-time? (IF NEEDED: Part-time is considered less than 35 hours per week) |
NUMBER OF DECEMBER 31, 2005 PART-TIME EMPLOYEES
DON’T KNOW / REFUSED
C7_Num_PT_Employees_1 |
| C8z. Our records show that the primary location where [NAME BUSINESS] operates is [tPrimaryLocation]. Is that correct? |
YES GO TO D1
NO
DON’T KNOW / REFUSED GO TO D1
C8z_Primary_Loc_Confirm_1 |
| C8. How would you describe the primary location where [NAME BUSINESS] operates? Is it . . . |
A residence such as a home or garage,
A rented or leased space,
Space the business purchased,
A site where a client is located, or
Some other location? (SPECIFY)
DON’T KNOW / REFUSED
C8_Primary_Loc_1
c8_primary_loc_specify_1 |
| C9. What was the main reason for the change of location? |
Previous location too expensive
Needed more space due to growth of business
Moved closer to customers
Moved business and residence to new location
OTHER (SPECIFY)
DON’T KNOW / REFUSED
c9_loc_change_reason_1
c9otherspecify_1 |
 D. Strategy and Innovation
| D1. Does [NAME BUSINESS] provide (READ ITEM)? |
a. A service YES NO DON’T KNOW REFUSED
b. A product YES NO DON’T KNOW REFUSED
d1a_provide_service_1
d1b_provide_product_1 |
| D2. Businesses often have to compete with other businesses. A competitive advantage is something unique or distinctive a business provides that gives it an advantage compared to competitors. In calendar year 2005, did [NAME BUSINESS] have a competitive advantage over its competitors? |
YES
NO
DON’T KNOW / REFUSED
d2_comp_advantage_1 |
D3. Whether assigned by an owner or obtained in some other way, does [NAME BUSINESS] have any of the following? (READ LIST)
FOR EACH “YES,” ASK: How many (READ ITEM) does [NAME BUSINESS] have?
INTERVIEWERS IF NEEDED:
Patent: A patent is a right given by the government to preclude others from making and selling an invention for 20 years from the date of application in return for disclosure of how the invention operates.
Copyright: The legal right granted to authors, composers, artists and publishers to protect their thoughts and ideas for exclusive publication, reproduction, sale and distribution of their works.
Trademark: Words, names, symbols or devices, or any combination of these used to identify the goods of a business and to distinguish these goods from the goods of others. |
a. Patents YES NO DON’T KNOW REFUSED
b. Copyrights YES NO DON’T KNOW REFUSED
c. Trademarks YES NO DON’T KNOW REFUSED
FOR EACH “YES,” ASK: How many
d3_a_have_patent_1
d3_a_num_patent_1
d3_b_have_copyright_1
d3_b_num_copyright_1
d3_c_have_trademark_1
d3_c_num_trademark_1 |
| D4. “Licensing out” is licensing patents, copyrights, or trademarks owned by the business to other parties under a licensing agreement. In calendar year 2005, did [NAME BUSINESS] license out any (READ ITEM)? |
a. Patents YES NO DON’T KNOW REFUSED
b. Copyrights YES NO DON’T KNOW REFUSED
c. Trademarks YES NO DON’T KNOW REFUSED
d4_a_lic_out_patent_1
d4_b_lic_out_copyright_1
d4_c_lic_out_trademark_1 |
| D5. “Licensing in” is acquiring the right to use intellectual property such as patents, copyrights, or trademarks created by someone outside the business through a licensing agreement. In calendar year 2005, did [NAME BUSINESS] license in any (READ ITEM)? |
a. Patents YES NO DON’T KNOW REFUSED
b. Copyrights YES NO DON’T KNOW REFUSED
c. Trademarks YES NO DON’T KNOW REFUSED
d5_a_lic_in_patent_1
d5_b_lic_in_copyright_1
d5_c_lic_in_trademark_1 |
| D6. Did [NAME BUSINESS] have any customers or sales in calendar year 2005? |
YES
NO
DON’T KNOW / REFUSED
d6_have_sales_1 |
| D7. I’d like to learn more about the type of customers that [NAME BUSINESS] had during calendar year 2005. I am going to ask you to estimate the percent of the business’ sales that were made to individuals, businesses, and government agencies. The total should equal 100%. |
a. During calendar year 2005, what percentage of the business’ sales were to private individuals?
PERCENTAGE
DON’T KNOW /REFUSED
b. What percentage of the business’ sales were to other businesses? [IF NEEDED: Please include sales to for-profit and not-for-profit business.]
PERCENTAGE
DON’T KNOW /REFUSED
c. What percentage of the business’ sales were to government agencies?
PERCENTAGE
DON’T KNOW /REFUSED
d7_perc_sales_bus_1
d7_perc_sales_govt_1
d7_perc_sales_indiv_1 |
 E. Business Organization and HR Benefits
IF ONE OWNER REPORTED AT C2 AND BUSINESS REPORTED “0” EMPLOYEES AT C5, GO TO F1.
Next, I’d like to ask about how [NAME BUSINESS] is organized and about the benefits that are offered to employees. |
| |
|
| E1. On December 31, 2005, how many employees or owners, if any, did [NAME BUSINESS] have who were primarily responsible for (READ ITEM)? Please include only full- and part-time employees, but not contract workers who work for the business but are not on the business’ official payroll. |
a. Human resources such as employee benefits, recruitment, or hiring
b. Sales or Marketing such as sales, market research, customer analysis, or promotional activities
c. Executive administration functions such as strategic planning, competitive analysis, shareholder relations, or general management
d. Research and development on new products or services
e. Production or manufacturing such as producing materials or products, production planning, production control, quality control, or storage
f. General administration such as office management, responding to maintenance requests, purchase supplies, or training employees in office procedures
g. Financial administration such as accounting procedures, budgeting, financial analysis, or investment activities
h. Does [NAME BUSINESS] have employees with any other key responsibilities? (SPECIFY)
NUMBER EMPLOYEES OR OWNERS
e1_a_num_human_res_1
e1_b_num_sales_1
e1_c_num_exec_admin_1
e1_d_num_resdev_1
e1_e_num_prod_manu_1
e1_f_num_gen_admin_1
e1_g_num_fin_admin_1
e1_h_num_other_1
e1_h_other_specify_1 |
| E2a. As of December 31, 2005, did [NAME BUSINESS] offer full-time employees or owners (READ ITEM): |
a. A health insurance plan either through the business or an association
b. A retirement plan such as profit sharing, pension, including 401K, annuity, Keogh, etc.
c. Stock options or other stock ownership
d. A bonus plan
e. Tuition reimbursement
f. Paid vacation
g. Paid sick days
h. Alternative work schedules such as flex time or job sharing
i. Any other benefits? (SPECIFY)
e2a_ft_emp_hlth_plan_1
e2a_ft_emp_retire_plan_1
e2a_ft_emp_stock_own_1
e2a_ft_emp_bonus_plan_1
e2a_ft_emp_tuit_reim_1
e2a_ft_emp_paid_vaca_1
e2a_ft_emp_paid_sick_1
e2a_ft_emp_flex_time_1
e2a_ft_emp_other_1
e2a_other_specify_1 |
IF ZERO PART-TIME EMPLOYEES AT C7, GO TO F1.
E2b. As of December 31, 2005, did [NAME BUSINESS] offer part-time employees (READ ITEM): |
a. A health insurance plan either through the business or an association
b. A retirement plan such as profit sharing, pension, including 401K, annuity, Keogh, etc.
c. Stock options or other stock ownership
d. A bonus plan
e. Tuition reimbursement
f. Paid vacation
g. Paid sick days
h. Alternative work schedules such as flex time or job sharing
i. Any other benefits? (SPECIFY)
e2b_pt_emp_retire_plan_1
e2a_ft_emp_retire_plan_1
e2b_pt_emp_stock_own_1
e2b_pt_emp_bonus_plan_1
e2b_pt_emp_tuit_reim_1
e2b_pt_emp_paid_vaca_1
e2b_pt_emp_paid_sick_1
e2b_pt_emp_flex_time_1
e2b_pt_emp_other_1
e2b_other_specify_1 |
 F. Business Finances
F1. Now I’d like to ask about [NAME BUSINESS]’s financing. Businesses can get money from the savings or investments of the owner(s), money from spouses, family or other individuals, from companies, borrowing in an owner’s name, venture funds, or by borrowing in the name of the business. Some of the funds must be paid back and other funds represent an equity stake or share of the business. We will ask some questions about what happened during calendar year 2005, some questions about what has happened since the business began, and other questions about balances as of December 31, 2005.
F1a. First, in calendar year 2005, did you put any of your own money into [NAME BUSINESS] in return for an ownership share of the business? Please do not include any money borrowed from others or from credit cards.
IF NEEDED: This would include all additional money invested by [you/OWNER NAME] in the business during calendar year 2005. |
YES
NO GO TO F2a1
DON’T KNOW / REFUSED GO TO F2a1
f2_owner_eq_invest_01_1 |
| F2a. IF YES: How much of [your/her/his] own money did [you/he/she] put into the business during calendar year 2005? IF NEEDED: Your best estimate is fine. |
OWNER A $
DON’T KNOW / REFUSED
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES: Would you say it was . . .
$500 or less
$501 to $1,000
$1,001 to $3,000
$3,001 to $5,000
$5,001 to $10,000
$10,001 to $25,000
$25,001 to $100,000
$100,001 to $1,000,000
$1,000,001 or more?
DON’T KNOW /REFUSED
f2_owner_amt_eq_invest_01_1
f2_ownr_amt_eqinvest_range_01_1 |
F2a1. Counting all years, how much of [your/OWNER B-J] own money did [you/she/he] put into [NAME BUSINESS] as of December 31, 2005?
IF NEEDED: This includes all money [you/she/he] invested in the business as of December 31, 2005. |
TOTAL EQUITY
DON’T KNOW / REFUSED
PROBE: IF DON’T KNOW OR REFUSED, PROBE WITH RANGES:
Would you say it was . . .
$500 or less
$501 to $1,000
$1,001 to $3,000
$3,001 to $5,000
$5,001 to $10,000
$10,001 to $25,000
$25,001 to $100,000
$100,001 to $1,000,000
$1,000,001 or more?
DON’T KNOW /REFUSED
IF F2a IS GREATER THAN F2a1:
I may have made a mistake. The amount invested in 2005 is greater than the amount invested in all years combined. Is there an error?
f2_ownr_amt_eqinvest_allyrs_01_1
f2_ownr_eqinvst_allyrs_range01_1 |
| F2b. What percentage of the business did [you/OWNER B-J] own on December 31, 2005? |
PERCENTAGE OF BUSINESS
DON’T KNOW /REFUSED
f2_owner_perc_own_01_1
IF MORE THAN ONE OWNER/OPERATOR AT C4, ASK F1a-F2b FOR EACH OWNER/OPERATOR. OTHERWISE, GO TO F3.
f2_owner_amt_eq_invest_01_1
f2_owner_amt_eq_invest_02_1
f2_owner_amt_eq_invest_03_1
f2_owner_amt_eq_invest_04_1
f2_owner_amt_eq_invest_05_1
f2_owner_amt_eq_invest_06_1
f2_owner_amt_eq_invest_07_1
f2_owner_amt_eq_invest_08_1
f2_owner_amt_eq_invest_09_1
f2_owner_amt_eq_invest_10_1
f2_owner_eq_invest_01_1
f2_owner_eq_invest_02_1
f2_owner_eq_invest_03_1
f2_owner_eq_invest_04_1
f2_owner_eq_invest_05_1
f2_owner_eq_invest_06_1
f2_owner_eq_invest_07_1
f2_owner_eq_invest_08_1
f2_owner_eq_invest_09_1
f2_owner_eq_invest_10_1
f2_owner_perc_own_01_1
f2_owner_perc_own_02_1
f2_owner_perc_own_03_1
f2_owner_perc_own_04_1
f2_owner_perc_own_05_1
f2_owner_perc_own_06_1
f2_owner_perc_own_07_1
f2_owner_perc_own_08_1
f2_owner_perc_own_09_1
f2_owner_perc_own_10_1
f2_ownr_amt_eqinvest_allyrs_01_1
f2_ownr_amt_eqinvest_allyrs_02_1
f2_ownr_amt_eqinvest_allyrs_03_1
f2_ownr_amt_eqinvest_allyrs_04_1
f2_ownr_amt_eqinvest_allyrs_05_1
f2_ownr_amt_eqinvest_allyrs_06_1
f2_ownr_amt_eqinvest_allyrs_07_1
f2_ownr_amt_eqinvest_allyrs_08_1
f2_ownr_amt_eqinvest_allyrs_09_1
f2_ownr_amt_eqinvest_allyrs_10_1
f2_ownr_amt_eqinvest_range_01_1
f2_ownr_amt_eqinvest_range_02_1
f2_ownr_amt_eqinvest_range_03_1
f2_ownr_amt_eqinvest_range_04_1
f2_ownr_amt_eqinvest_range_05_1
f2_ownr_amt_eqinvest_range_06_1
f2_ownr_amt_eqinvest_range_07_1
f2_ownr_amt_eqinvest_range_08_1
f2_ownr_amt_eqinvest_range_09_1
f2_ownr_amt_eqinvest_range_10_1
f2_ownr_eqinvst_allyrs_range01_1
f2_ownr_eqinvst_allyrs_range02_1
f2_ownr_eqinvst_allyrs_range03_1
f2_ownr_eqinvst_allyrs_range04_1
f2_ownr_eqinvst_allyrs_range05_1
f2_ownr_eqinvst_allyrs_range06_1
f2_ownr_eqinvst_allyrs_range07_1
f2_ownr_eqinvst_allyrs_range08_1
f2_ownr_eqinvst_allyrs_range09_1
f2_ownr_eqinvst_allyrs_range10_1 |
| IF SOLE PROPRIETORSHIP AT QUESTION C1z OR C1z2, GO TO F6b. |
| |
| F3. Equity investment is money received in return for some portion of ownership, and it is another way to fund business expenses. During calendar year 2005, did the business obtain equity financing from any of the following sources? |
a. Spouses or life partners of owners of the business. This does not include spouses or life partners already named as owners
b. Parents, in-laws or children of owners of the business
c. Individuals who are not spouses or life partners, parents, in-laws or children of the owners, excluding venture capitalists
d. Other companies
e. Government agencies
f. Venture capitalists
g. Any other sources? (SPECIFY)
f3a_eq_invest_spouse_1
f3b_eq_invest_parents_1
f3c_eq_invest_angels_1
f3d_eq_invest_companies_1
f3e_eq_invest_govt_1
f3f_eq_invest_vent_cap_1
f3g_eq_invest_other_1 |
F4. FOR EACH EQUITY FINANCING OPTION REPORTED AS “YES” ABOVE, ASK:
In calendar year 2005, how much money did [NAME BUSINESS] receive from [EQUITY OPTION]? |
$ CALENDAR YEAR 2005 AMOUNT FROM EQUITY OPTION
DON’T KNOW /REFUSED
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES: Would you say it was . . .
$500 or less
$501 to $1,000
$1,001 to $3,000
$3,001 to $5,000
$5,001 to $10,000
$10,001 to $25,000
$25,001 to $100,000
$100,001 to $1,000,000
$1,000,001 or more?
DON’T KNOW /REFUSED
f4_eq_amt_angels_1
f4_eq_amt_companies_1
f4_eq_amt_govt_1
f4_eq_amt_other_1
f4_eq_amt_parents_1
f4_eq_amt_spouse_1
f4_eq_amt_vent_cap_1
f4a_eq_amt_angels_ranges_1
f4a_eq_amt_companies_ranges_1
f4a_eq_amt_govt_ranges_1
f4a_eq_amt_other_ranges_1
f4a_eq_amt_parents_ranges_1
f4a_eq_amt_spouse_ranges_1
f4a_eq_amt_vent_cap_ranges_1 |
F4a. Counting all years, how much did [EQUITY OPTION] put into [NAME BUSINESS] as of December 31, 2005?
PROBE: This includes all money invested by [EQUITY OPTION] in all years. |
$ TOTAL EQUITY
DON’T KNOW /REFUSED
PROBE: IF DON’T KNOW OR REFUSED, PROBE WITH RANGES: Would you say it was . . .
$500 or less
$501 to $1,000
$1,001 to $3,000
$3,001 to $5,000
$5,001 to $10,000
$10,001 to $25,000
$25,001 to $100,000
$100,001 to $1,000,000
$1,000,001 or more?
DON’T KNOW /REFUSED
f4_eq_amt_angels_allyrs_1
f4_eq_amt_angels_allyrs_ranges_1
f4_eq_amt_comp_allyrs_range_1
f4_eq_amt_companies_allyrs_1
f4_eq_amt_govt_allyrs_1
f4_eq_amt_govt_allyrs_ranges_1
f4_eq_amt_other_allyrs_1
f4_eq_amt_other_allyrs_ranges_1
f4_eq_amt_parents_allyrs_1
f4_eq_amt_parents_allyrs_range_1
f4_eq_amt_spouse_allyrs_1
f4_eq_amt_vent_cap_allyrs_1
f4_eq_amt_ventcap_allyrs_range_1
IF F4 IS GREATER THAN F4a:
I may have made a mistake. The amount invested in 2005 is greater than the amount invested in all years combined. Is there an error? |
F5. FOR EACH EQUITY FINANCING OPTION REPORTED AS “YES” ABOVE, ASK:
What was the total percentage of the business owned by the [EQUITY OPTION] who invested money in the business as of December 31, 2005? |
PERCENT
DON’T KNOW / REFUSED
f5_perc_owned_angels_1
f5_perc_owned_companies_1
f5_perc_owned_govt_1
f5_perc_owned_other_1
f5_perc_owned_parents_1
f5_perc_owned_spouse_1
f5_perc_owned_vent_cap_1
INTERVIEWER CHECK BOX: CHECK ANSWER FROM F2b AND F5 FOR TOTAL PERCENTAGE OF BUSINESS ACCOUNTED FOR.
f6check_1
IF TOTAL PERCENTAGE EQUALS 100%, GO TO F6a
IF TOTAL EQUALS LESS OR MORE THAN 100% |
F6. So far, you’ve given me the following information on who owns [NAME BUSINESS]: [LIST EQUITY INVESTORS FROM F2b AND F5]. Can we review this list?
REVIEW LIST OF OWNERS AND PERCENTAGES WITH RESPONDENT. MAKE CHANGES AS NEEDED, ADDING NEW OWNERS AND/OR PERCENTAGES AS NECESSARY. |
| DON’T KNOW /REFUSED
f6_perc_owned_owner_01_1
f6_perc_owned_owner_02_1
f6_perc_owned_owner_03_1
f6_perc_owned_owner_04_1
f6_perc_owned_owner_05_1
f6_perc_owned_owner_06_1
f6_perc_owned_owner_07_1
f6_perc_owned_owner_08_1
f6_perc_owned_owner_09_1
f6_perc_owned_owner_10_1
f6_perc_owned_owner_11_1
|
F6a. Have you or other owners withdrawn money from the business for personal use in either 2004 or 2005?
INTERVIEWER: IF NEEDED—This does not include owner salaries. |
YES
NO GO TO F7a
DON’T KNOW / REFUSED GO TO F7a
f6a_personal_use_1 |
| F6b. IF YES: Thinking of calendar year 2004, how much money, if any, did you and other owners withdraw from the business for personal use? This includes any dividends paid. |
TOTAL DRAWINGS 2004
DON’T KNOW / REFUSED
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES: Would you say it was . . .
$500 or less,
$501 to $1,000,
$1,001 to $3,000,
$3,001 to $5,000,
$5,001 to $10,000,
$10,001 to $25,000,
$25,001 to $100,000,
$100,001 to $1,000,000,
$1,000,001 or more?
DON’T KNOW / REFUSED
f6b_personal_use_amt_2004_1
f6b_personaluse_amt_2004_range_1 |
| F6c. Now: Thinking of calendar year 2005, how much money, if any, did you and other owners withdraw from the business for personal use? This includes any dividends paid. |
TOTAL DRAWINGS 2005
DON’T KNOW / REFUSED
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES: Would you say it was . . .
$500 or less,
$501 to $1,000,
$1,001 to $3,000,
$3,001 to $5,000,
$5,001 to $10,000,
$10,001 to $25,000,
$25,001 to $100,000,
$100,001 to $1,000,000,
$1,000,001 or more?
DON’T KNOW / REFUSED
f6b_personal_use_amt_2005_1
f6b_personaluse_amt_2005_range_1 |
F7a. Another way to finance a business is debt financing. Debt is money borrowed that has to be paid back with or without interest.
We will be talking about categories of debt based on who is responsible for paying it back. For each category, I’ll ask you about several sources of debt business owners or businesses can use to fund operations. We want to make sure that any business-related debt is reported in the right category, and is reported only once. I will identify each category and remind you when I change categories. Here is the first category.
I’m going to ask you about some different types of debt financing you may have borrowed in your name on behalf of [NAME BUSINESS]. For each, please tell me if you used this type at any time during calendar year 2005. Did you use [NAME FINANCING OPTION FROM LIST]? |
YES/NO/DON’T KNOW / REFUSED
a. Personal credit cards for business-related purposes
b. Personal loans from a bank or other financial institution, such as a mortgage or home equity loan used for the business
c. Business or corporate credit cards issued in your name
d. Personal loans from any family or friends
e. Personal loans from any other individuals not associated with the management of the business
f. Any other sources? (SPECIFY)
f7_pers_other_specify_1
f7a_bus_credcard_1
f7a_pers_credcard_1
f7a_pers_loan_bank_1
f7a_pers_loan_fam_1
f7a_pers_loan_other_1
f7a_pers_other_1 |
| F7b. IN BELOW LIST, FOR EACH DEBT FINANCING OPTION BUSINESS REPORTED, ASK: How many [NAME DEBT FINANCING OPTION] did you use to finance the operation of the business during calendar year 2005? |
NUMBER USED
a. Personal credit cards for business-related purposes
b. Personal loans from a bank or other financial institution, such as a mortgage or home equity loan used for the business
c. Business or corporate credit cards issued in your name
d. Personal loans from any family or friends
e. Personal loans from any other individuals not associated with the management of the business
f. Any other sources? (SPECIFY)
f7b_bus_credcard_numused_1
f7b_pers_credcard_numused_1
f7b_pers_loan_bank_numused_1
f7b_pers_loan_fam_numused_1
f7b_pers_loan_other_numused_1
f7b_pers_other_numused_1 |
| F8a. IF ANSWERED “YES” TO F7a ITEMS a, c, ASK: As of December 31, 2005, what was the maximum credit line on the [NAME DEBT FINANCING OPTION]? |
DECEMBER 31, 2005 CREDIT LINE
DON’T KNOW / REFUSED
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES: Would you say it was . . .
$500 or less,
$501 to $1,000,
$1,001 to $3,000,
$3,001 to $5,000,
$5,001 to $10,000,
$10,001 to $25,000,
$25,001 to $100,000,
$100,001 to $1,000,000,
$1,000,001 or more?
DON’T KNOW / REFUSED
f8a_bus_credcard_line_1
f8a_bus_credcard_line_ranges_1
f8a_pers_credcard_line_1
f8a_pers_credcard_line_ranges_1 |
| F8b. IF ANSWERED “YES” TO F7a ITEMS a, c, ASK: As of December 31, 2005, what was the outstanding balance on the [NAME DEBT FINANCING OPTION]? |
DECEMBER 31, 2005 OUTSTANDING CREDIT CARD BALANCE
DON’T KNOW / REFUSED
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES: Would you say it was . . .
$500 or less,
$501 to $1,000,
$1,001 to $3,000,
$3,001 to $5,000,
$5,001 to $10,000,
$10,001 to $25,000,
$25,001 to $100,000,
$100,001 to $1,000,000,
$1,000,001 or more?
DON’T KNOW / REFUSED
f8b_bus_credcard_bal_1
f8b_bus_credcard_bal_ranges_1
f8b_pers_credcard_bal_1
f8b_pers_credcard_bal_ranges_1 |
IF F8b IS GREATER THAN F8a:
Perhaps I made a mistake. The amount I recorded as the balance outstanding is greater than the amount reported as the maximum credit limit. |
| |
| F8c. IF ANSWERED “YES” TO F7a ITEMS b, d, e, f, ASK: In calendar year 2005, how much was obtained from the [NAME DEBT FINANCING OPTION]? |
$ CALENDAR YEAR 2005 DEBT AMOUNT
DON’T KNOW / REFUSED
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES: Would you say it was . . .
$500 or less,
$501 to $1,000,
$1,001 to $3,000,
$3,001 to $5,000,
$5,001 to $10,000,
$10,001 to $25,000,
$25,001 to $100,000,
$100,001 to $1,000,000,
$1,000,001 or more?
DON’T KNOW / REFUSED
f8c_pers_loan_bank_amt_1
f8c_pers_loan_bank_amt_ranges_1
f8c_pers_loan_fam_amt_1
f8c_pers_loan_fam_amt_ranges_1
f8c_pers_loan_other_amt_1
f8c_pers_loan_other_amt_ranges_1
f8c_pers_other_amt_1
f8c_pers_other_amt_ranges_1 |
| F8d. As of December 31, 2005, what was the estimated amount of the [NAME DEBT FINANCING OPTION] owed by you on behalf of [NAME BUSINESS]? |
$ DEBT FINANCING VALUE AS OF DECEMBER 31, 2005
DON’T KNOW / REFUSED
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES: Would you say it was . . .
$500 or less,
$501 to $1,000,
$1,001 to $3,000,
$3,001 to $5,000,
$5,001 to $10,000,
$10,001 to $25,000,
$25,001 to $100,000,
$100,001 to $1,000,000,
$1,000,001 or more?
DON’T KNOW / REFUSED
f8d_pers_loan_bank_owed_1
f8d_pers_loan_bank_owed_ranges_1
f8d_pers_loan_fam_owed_1
f8d_pers_loan_fam_owed_ranges_1
f8d_pers_other_owed_1
f8d_pers_other_owed_ranges_1
f8d_pers_loan_other_owed_1
f8d_persloan_other_owed_range_1 |
IF MORE THAN ONE OWNER/OPERATOR AT C4, ASK F9a. OTHERWISE, GO TO F11a.
F9a. Here is the next debt category. I’m going to ask you about some different types of debt financing that other owners may have borrowed on behalf of [NAME BUSINESS]. This debt does not include amounts already reported in the previous section about your debt. For each, please tell me if other owners used this type at any time during calendar year 2005. Did other owners use [NAME DEBT FINANCING OPTION FROM LIST]? |
Yes/NO/DON’T KNOW / REFUSED
a. Personal credit cards for business-related purposes
b. Personal loans from a bank or other financial institution, such as a mortgage or home equity loan used for the business
c. Business or corporate credit cards issued in the other owner’s name(s)
d. Personal loans from any family or friends
e. Personal loans from any other individuals not associated with the management of the business
f. Any other sources? (SPECIFY)
f9a_bus_credcard_1
f9a_pers_credcard_1
f9a_pers_loan_bank_1
f9a_pers_loan_fam_1
f9a_pers_loan_other_1
f9a_pers_other_1
f9_pers_other_specify_1 |
| F9b. IN BELOW LIST, FOR EACH DEBT FINANCING OPTION BUSINESS REPORTED, ASK: How many [NAME DEBT FINANCING OPTION] did other owners use to finance the operation of the business during calendar year 2005? |
NUMBER USED
a. Personal credit cards for business-related purposes
b. Personal loans from a bank or other financial institution, such as a mortgage or home equity loan used for the business
c. Business or corporate credit cards issued in the other owner’s name(s)
d. Personal loans from any family or friends
e. Personal loans from any other individuals not associated with the management of the business
f. Any other sources? (SPECIFY)
f9b_bus_credcard_numused_1
f9b_pers_credcard_numused_1
f9b_pers_loan_bank_numused_1
f9b_pers_loan_fam_numused_1
f9b_pers_loan_other_numused_1
f9b_pers_other_numused_1 |
| F10a. IF ANSWERED “YES” TO F9a ITEMS a, c, ASK: As of December 31, 2005, what was the maximum credit line on the [NAME DEBT FINANCING OPTION] of (one of) the other owner(s)? |
$ DECEMBER 31, 2005 CREDIT LINE
DON’T KNOW / REFUSED
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES: Would you say it was . . .
$500 or less,
$501 to $1,000,
$1,001 to $3,000,
$3,001 to $5,000,
$5,001 to $10,000,
$10,001 to $25,000,
$25,001 to $100,000,
$100,001 to $1,000,000,
$1,000,001 or more?
DON’T KNOW / REFUSED
f10a_bus_credcard_line_1
f10a_bus_credcard_line_ranges_1
f10a_pers_credcard_line_1
f10a_pers_credcard_line_ranges_1 |
| F10b. IF ANSWERED “YES” TO F9a ITEMS a, c, ASK: As of December 31, 2005, what was the outstanding balance on the [NAME DEBT FINANCING OPTION] used by (one of) the other owner(s)? |
$ DECEMBER 31, 2005 OUTSTANDING CREDIT CARD BALANCE
DON’T KNOW / REFUSED
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES: Would you say it was . . .
$500 or less,
$501 to $1,000,
$1,001 to $3,000,
$3,001 to $5,000,
$5,001 to $10,000,
$10,001 to $25,000,
$25,001 to $100,000,
$100,001 to $1,000,000,
$1,000,001 or more?
DON’T KNOW / REFUSED
f10b_bus_credcard_bal_1
f10b_bus_credcard_bal_ranges_1
f10b_pers_credcard_bal_1
f10b_pers_credcard_bal_ranges_1 |
| F10c. IF ANSWERED “YES” TO F9a, ITEMS b, d, e, f, ASK: In calendar year 2005, how much was obtained from the [NAME DEBT FINANCING OPTION] other owners used? |
$ CALENDAR YEAR 2005 DEBT AMOUNT
DON’T KNOW / REFUSED
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES: Would you say it was . . .
$500 or less,
$501 to $1,000,
$1,001 to $3,000,
$3,001 to $5,000,
$5,001 to $10,000,
$10,001 to $25,000,
$25,001 to $100,000,
$100,001 to $1,000,000,
$1,000,001 or more?
DON’T KNOW / REFUSED
f10c_pers_loan_bank_amt_1
f10c_pers_loan_bank_amt_ranges_1
f10c_pers_loan_fam_amt_1
f10c_pers_loan_fam_amt_ranges_1
f10c_pers_loan_other_amt_1
f10c_pers_other_amt_1
f10c_pers_other_amt_ranges_1
f10c_persloan_other_amt_range_1 |
| F10d. As of December 31, 2005, what was the estimated amount of the [NAME DEBT FINANCING OPTION] owed by other owners on behalf of [NAME BUSINESS]? |
$ DEBT AMOUNT AS OF DECEMBER 31, 2005
$ CALENDAR YEAR 2005 DEBT AMOUNT
DON’T KNOW / REFUSED
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES: Would you say it was . . .
$500 or less,
$501 to $1,000,
$1,001 to $3,000,
$3,001 to $5,000,
$5,001 to $10,000,
$10,001 to $25,000,
$25,001 to $100,000,
$100,001 to $1,000,000,
$1,000,001 or more?
DON’T KNOW / REFUSED
f10d_pers_loan_bank_owed_1
f10d_persloan_bank_owed_range_1
f10d_pers_loan_fam_owed_1
f10d_pers_loan_fam_owed_ranges_1
f10d_pers_other_owed_1
f10d_pers_other_owed_ranges_1
f10d_pers_loan_other_owed_1
f10d_persloan_other_owed_range_1 |
| F11a. We are once again switching to another debt category. Now I’m going to ask you about some different types of debt financing that may have been obtained in the name of the business during calendar year 2005. This debt does not include amounts already reported in the previous sections about your debt or the debt of other owners. During calendar year 2005, did [NAME BUSINESS] use [NAME DEBT FINANCING OPTION FROM LIST]? |
Yes/NO/DON’T KNOW / REFUSED
a. Business or corporate credit cards issued in the name of the business
b. Business loans from a commercial bank
c. Business line of credit (READ IF NEEDED: a business line of credit is when a business has an agreement with a bank or other financial institution to borrow up to a certain amount of funds)
d. Business loans from a non-bank financial institution
e. Business loans from any family or friends of the owners
f. Business loans from another owner of the business or a partner
g. [IF HAVE EMPLOYEES AT C5] Loans to the business from employees that are not owners of the business
h. Loans from government agencies
i. Loans from other businesses
j. Business loans from any other individuals not associated with the management of the business
k. Any other sources? (SPECIFY)
f11_bus_other_specify_1
f11a_bus_cred_line_1
f11a_bus_credcard_1
f11a_bus_loans_bank_1
f11a_bus_loans_emp_1
f11a_bus_loans_fam_1
f11a_bus_loans_govt_1
f11a_bus_loans_nonbank_1
f11a_bus_loans_other_bus_1
f11a_bus_loans_other_ind_1
f11a_bus_loans_owner_1
f11a_bus_other_1 |
| F11b. IN BELOW LIST, FOR EACH DEBT FINANCING OPTION BUSINESS REPORTED, ASK: How many [NAME DEBT FINANCING OPTION] did the business use to finance the operation or the business during calendar year 2005? |
NUMBER USED
a. Business or corporate credit cards issued in the name of the business
b. Business loans from a commercial bank
c. Business line of credit (READ IF NEEDED: a business line of credit is when a business has an agreement with a bank or other financial institution to borrow up to a certain amount of funds)
d. Business loans from a non-bank financial institution
e. Business loans from any family or friends of the owners
f. Business loans from another owner of the business or a partner
g. [IF HAVE EMPLOYEES AT C5] Loans to the business from employees that are not owners of the business
h. Loans from government agencies
i. Loans from other businesses
j. Business loans from any other individuals not associated with the management of the business
k. Any other sources? (SPECIFY)
f11a_busloans_otherbus_numused_1
f11b_bus_cred_line_numused_1
f11b_bus_credcard_numused_1
f11b_bus_loans_bank_numused_1
f11b_bus_loans_emp_numused_1
f11b_bus_loans_fam_numused_1
f11b_bus_loans_govt_numused_1
f11b_bus_loans_nonbank_numused_1
f11b_bus_loans_owner_numused_1
f11b_bus_other_numused_1
f11b_busloans_otherind_numused_1 |
| F12a. IF ANSWERED “YES” TO F11a ITEMS a, c, ASK: As of December 31, 2005, what was the maximum credit line on the [NAME DEBT FINANCING OPTION]? |
$ DECEMBER 31, 2005 CREDIT LINE
DON’T KNOW / REFUSED
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES: Would you say it was . . .
$500 or less,
$501 to $1,000,
$1,001 to $3,000,
$3,001 to $5,000,
$5,001 to $10,000,
$10,001 to $25,000,
$25,001 to $100,000,
$100,001 to $1,000,000,
$1,000,001 or more?
DON’T KNOW / REFUSED
f12a_bus_cred_line_1
f12a_bus_cred_line_ranges_1
f12a_bus_credcard_line_1
f12a_bus_credcard_line_ranges_1 |
| F12b. IF ANSWERED “YES” TO F11a ITEMS a, c, ASK: As of December 31, 2005, what was the outstanding balance on the [NAME DEBT FINANCING OPTION]? |
$ DECEMBER 31, 2005 OUTSTANDING CREDIT BALANCE
DON’T KNOW / REFUSED
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES: Would you say it was . . .
$500 or less,
$501 to $1,000,
$1,001 to $3,000,
$3,001 to $5,000,
$5,001 to $10,000,
$10,001 to $25,000,
$25,001 to $100,000,
$100,001 to $1,000,000,
$1,000,001 or more?
DON’T KNOW / REFUSED
f12b_bus_cred_line_bal_1
f12b_bus_cred_line_bal_ranges_1
f12b_bus_credcard_bal_1
f12b_bus_credcard_bal_ranges_1 |
IF F12a IS GREATER THAN F12b:
Perhaps I made a mistake. The amount I recorded as the balance outstanding is greater than the amount reported as the maximum credit limit. |
| |
| F12c. IF ANSWERED “YES” TO F11a ITEMS b, d-k, ASK: In calendar year 2005, how much was the amount obtained from [NAME DEBT FINANCING OPTION] used by [NAME BUSINESS]? |
$ CALENDAR YEAR 2005 DEBT AMOUNT
DON’T KNOW / REFUSED
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES: Would you say it was . . .
$500 or less,
$501 to $1,000,
$1,001 to $3,000,
$3,001 to $5,000,
$5,001 to $10,000,
$10,001 to $25,000,
$25,001 to $100,000,
$100,001 to $1,000,000,
$1,000,001 or more?
DON’T KNOW / REFUSED
f12c_bus_loans_bank_amt_1
f12c_bus_loans_bank_amt_ranges_1
f12c_bus_loans_bus_amt_1
f12c_bus_loans_bus_amt_ranges_1
f12c_bus_loans_emp_amt_1
f12c_bus_loans_emp_amt_ranges_1
f12c_bus_loans_fam_amt_1
f12c_bus_loans_fam_amt_ranges_1
f12c_bus_loans_govt_amt_1
f12c_bus_loans_govt_amt_ranges_1
f12c_bus_loans_nonbank_amt_1
f12c_bus_loans_other_ind_amt_1
f12c_bus_loans_owner_amt_1
f12c_bus_other_amt_1
f12c_bus_other_amt_ranges_1
f12c_busloans_nonbnk_amt_range_1
f12c_busloans_other_ind_range_1
f12c_busloans_owner_amt_range_1 |
| F12d. As of December 31, 2005, what was the estimated amount of the [NAME DEBT FINANCING OPTION] owed by [NAME BUSINESS]? |
$ DEBT AMOUNT AS OF DECEMBER 31, 2005
DON’T KNOW / REFUSED
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES: Would you say it was . . .
$500 or less,
$501 to $1,000,
$1,001 to $3,000,
$3,001 to $5,000,
$5,001 to $10,000,
$10,001 to $25,000,
$25,001 to $100,000,
$100,001 to $1,000,000,
$1,000,001 or more?
DON’T KNOW / REFUSED
f12d_bus_loans_bank_owed_1
f12d_bus_loans_bus_owed_1
f12d_bus_loans_bus_owed_ranges_1
f12d_bus_loans_emp_owed_1
f12d_bus_loans_emp_owed_ranges_1
f12d_bus_loans_fam_owed_1
f12d_bus_loans_fam_owed_ranges_1
f12d_bus_loans_govt_owed_1
f12d_bus_loans_nonbank_owed_1
f12d_bus_loans_other_ind_owed_1
f12d_bus_loans_owner_owed_1
f12d_bus_other_owed_1
f12d_bus_other_owed_ranges_1
f12d_busloan_nonbnk_owed_range_1
f12d_busloan_othind_owed_range_1
f12d_busloans_bank_owed_range_1
f12d_busloans_govt_owed_range_1
f12d_busloans_owner_owed_range_1 |
| F13. Trade financing is where a business has an arrangement with a supplier to make purchases on account. In calendar year 2005, did [NAME BUSINESS] make any purchases through trade financing? |
YES
NO / DON’T KNOW / REFUSED GO TO F15
f13_trade_fin_1 |
| F14. IF YES: In calendar year 2005, what was the amount of purchases made through trade financing? |
$ CALENDAR YEAR 2005 AMOUNT OF TRADE PURCHASES
DON’T KNOW / REFUSED
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES: Would you say it was . . .
$500 or less,
$501 to $1,000,
$1,001 to $3,000,
$3,001 to $5,000,
$5,001 to $10,000,
$10,001 to $25,000,
$25,001 to $100,000,
$100,001 to $1,000,000,
$1,000,001 or more?
DON’T KNOW / REFUSED
f14a_trade_fin_amt_1
f14a_trade_fin_amt_ranges_1 |
| F15. In calendar year 2005, did [NAME BUSINESS] receive any revenue (money), from the sales of goods, services, or intellectual property? [IF SOLE PROPRIETORSHIP, ADD: This would be gross receipts reported on a Schedule C or C-EZ with your personal income tax return.] |
YES
NO / DON’T KNOW / REFUSED GO TO F17
f15_revenue_2005_1 |
| F16. What was [NAME BUSINESS]’s total revenue for calendar year 2005? [IF SOLE PROPRIETORSHIP, ADD: This would be gross receipts reported on a Schedule C or C-EZ with your personal income tax return.] |
$ TOTAL REVENUE 2005
DON’T KNOW / REFUSED
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES: Would you say it was . . .
$500 or less,
$501 to $1,000,
$1,001 to $3,000,
$3,001 to $5,000,
$5,001 to $10,000,
$10,001 to $25,000,
$25,001 to $100,000,
$100,001 to $1,000,000,
$1,000,001 or more?
DON’T KNOW / REFUSED
f16a_rev_2005_amt_1
f16a_rev_2005_amt_ranges_1 |
| F16b. Was this an increase, a decrease, or no change in the amount of revenue for [NAME BUSINESS] in 2005 compared to 2004? |
INCREASE
DECREASE
NO CHANGE GO TO F17
DON’T KNOW / REFUSED
f16b_rev_2005_change_1 |
| F16c. And what was the percentage change in revenue in 2005 compared 2004? Your best estimate is fine. |
% CHANGE IN REVENUE
DON’T KNOW /REFUSED
f16c_perc_change_1 |
| F17. Now I’m going to ask about the expenses the business paid. Expenses are the costs paid for the operation of the business, including wages, salaries, interest on loans, capital leases, materials, etc. How much, if any, did [NAME BUSINESS] pay in expenses during calendar year 2005? |
$ TOTAL EXPENSES IN CALENDAR YEAR 2005
DON’T KNOW / REFUSED
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES: Would you say it was . . .
$500 or less,
$501 to $1,000,
$1,001 to $3,000,
$3,001 to $5,000,
$5,001 to $10,000,
$10,001 to $25,000,
$25,001 to $100,000,
$100,001 to $1,000,000,
$1,000,001 or more?
DON’T KNOW / REFUSED
f17a_total_exp_2005_amt_1
f17a_total_exp_2005_amt_ranges_1 |
| F17b. Was this an increase, a decrease, or no change in total expenses for [NAME BUSINESS] in 2005 compared to 2004? |
INCREASE
DECREASE
NO CHANGE GO TO F18
DON’T KNOW / REFUSED
f17b_total_exp_2005_change_1 |
| F17c. And what was the percentage change in total expenses in 2005 compared to 2004? Your best estimate is fine. |
% CHANGE IN EXPENSES
DON’T KNOW /REFUSED
f17c_perc_change_1 |
F18. IF BUSINESS REPORTED “0” EMPLOYEES AT C5, GO TO F19.
How much, if any, did [NAME BUSINESS] pay in wages, salaries, and benefits to full and part-time employees in calendar year 2005? Please do not include wages, salaries, and benefits to contract workers who work for the business but are not on the business’ official payroll. |
$ TOTAL PAYROLL EXPENSES IN CALENDAR YEAR 2005
DON’T KNOW / REFUSED
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES: Would you say it was . . .
$500 or less,
$501 to $1,000,
$1,001 to $3,000,
$3,001 to $5,000,
$5,001 to $10,000,
$10,001 to $25,000,
$25,001 to $100,000,
$100,001 to $1,000,000,
$1,000,001 or more?
DON’T KNOW / REFUSED
f18a_wage_exp_2005_amt_1
f18b_wage_exp_2005_amt_ranges_1 |
| F19. Did [NAME BUSINESS] spend any money on research and development of new products and services during calendar year 2005? |
YES
NO
DON’T KNOW / REFUSED
f19_res_dev_1 |
| F20. Did [NAME BUSINESS] spend any money on the purchase of new or used machinery or equipment during calendar year 2005? |
YES
NO
DON’T KNOW / REFUSED
f20_mach_1 |
| F21. Did [NAME BUSINESS] spend any money on rental or lease payments for buildings or other structures during calendar year 2005? |
YES
NO
DON’T KNOW / REFUSED
f21_land_rent_1 |
| F22. Did [NAME BUSINESS] spend any money on rental or lease payments for machinery or equipment during calendar year 2005? |
YES
NO
DON’T KNOW / REFUSED
f22_mach_rent_1 |
| F23. Did [NAME BUSINESS] have a profit or loss in calendar year 2005? |
PROFIT GO TO F24
LOSS GO TO F26
DON’T KNOW / REFUSED
f23_profit_or_loss_1
IF F23 = 01 AND F15 = 00:
I may have made a mistake. Earlier in the interview, I recorded that [NAME BUSINESS] did not have any revenue in calendar year 2005. Is there an error?
|
F24. Profit is the business’ income after all expenses and taxes have been deducted.
What was [NAME BUSINESS]’s total profit for calendar year 2005
|
$ TOTAL PROFIT IN CALENDAR YEAR 2005
DON’T KNOW / REFUSED
f24_profit_amt_1 |
| F25. IF DON’T KNOW OR REFUSED, PROBE WITH RANGES: Would you say it was . . . |
$500 or less,
$501 to $1,000,
$1,001 to $3,000,
$3,001 to $5,000,
$5,001 to $10,000,
$10,001 to $25,000,
$25,001 to $100,000,
$100,001 to $1,000,000,
$1,000,001 or more?
DON’T KNOW / REFUSED
f25_profit_amt_ranges_1 |
F26. Loss is the business’ negative income after all expenses and taxes have been deducted. What was [NAME BUSINESS]’s total loss for calendar year 2005
|
$ TOTAL LOSS IN CALENDAR YEAR 2005
DON’T KNOW / REFUSED
f26_loss_amt_1 |
| F27. IF DON’T KNOW OR REFUSED, PROBE WITH RANGES: Would you say it was . . . |
$500 or less,
$501 to $1,000,
$1,001 to $3,000,
$3,001 to $5,000,
$5,001 to $10,000,
$10,001 to $25,000,
$25,001 to $100,000,
$100,001 to $1,000,000,
$1,000,001 or more?
DON’T KNOW / REFUSED
f27_loss_amt_ranges_1 |
| F28. Assets are what the business owns. As of December 31, 2005, did [NAME BUSINESS]’s assets include [NAME ASSET FROM LIST]? |
a. Cash on hand in checking, savings, money market accounts, certificates of deposit and other time deposits
b. Accounts receivable
c. Product inventory
d. Equipment or machinery
e. Land, buildings, and other structures
f. Vehicles
g. Any other business owned property (SPECIFY)
h. Any other assets? (SPECIFY)
f28a_asset_cash_1
f28b_asset_acct_rec_1
f28c_asset_inv_1
f28d_asset_equip_1
f28e_asset_landbuild_1
f28f_asset_veh_1
f28g_other_bus_prop_1
f28h_other_assets_1
f28_other_bus_prop_specify_1
f28_other_specify_1 |
F29. FOR EACH ASSET BUSINESS REPORTED, ASK:
As of December 31, 2005, what was the estimated value of the [NAME OF ASSET] owned by [NAME BUSINESS]? |
$ ASSET VALUE AS OF DECEMBER 31, 2005
DON’T KNOW / REFUSED
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES: Would you say it was . . .
$500 or less,
$501 to $1,000,
$1,001 to $3,000,
$3,001 to $5,000,
$5,001 to $10,000,
$10,001 to $25,000,
$25,001 to $100,000,
$100,001 to $1,000,000,
$1,000,001 or more?
DON’T KNOW / REFUSED
f29_assetval_acctrec_1
f29_assetval_acctrec_ranges_1
f29_assetval_cash_1
f29_assetval_cash_ranges_1
f29_assetval_equip_1
f29_assetval_equip_ranges_1
f29_assetval_inv_1
f29_assetval_inv_ranges_1
f29_assetval_landbuild_1
f29_assetval_landbuild_ranges_1
f29_assetval_othbusprop_1
f29_assetval_othbusprop_ranges_1
f29_assetval_other_1
f29_assetval_other_ranges_1
f29_assetval_veh_1
f29_assetval_veh_ranges_1 |
| F30. Liabilities are what the business owes. Other than the loans and the financial debt we’ve already talked about, did [NAME BUSINESS]’s liabilities as of December 31, 2005 include [NAME LIABILITY FROM LIST]? |
YES
NO
DON’T KNOW/REFUSED
a. Accounts Payable
b. Pension and post retirement benefits
c. Any other liabilities? (SPECIFY)
f30a_liab_acctpay_1
f30b_liab_pension_1
f30c_liab_other_1
f30_other_specify_1 |
| F31. FOR EACH LIABILITY BUSINESS HAS, ASK: As of December 31, 2005, what was the estimated value of [NAME BUSINESS]’s [NAME OF LIABILITY]? |
$ LIABILITY VALUE AS OF DECEMBER 31, 2005
DON’T KNOW / REFUSED
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES: Would you say it was . . .
$500 or less,
$501 to $1,000,
$1,001 to $3,000,
$3,001 to $5,000,
$5,001 to $10,000,
$10,001 to $25,000,
$25,001 to $100,000,
$100,001 to $1,000,000,
$1,000,001 or more?
DON’T KNOW / REFUSED
f31_value_acctpay_1
f31_value_acctpay_ranges_1
f31_value_other_1
f31_value_other_ranges_1
f31_value_pension_1
f31_value_pension_ranges_1 |
| |
 G. Work Behaviors and Demographics of Owner(s)
The last section contains questions for classification purposes only.
C4 LISTING OF OWNER/OPERATORS SHOULD BE ASKED THIS SERIES IN THE FOLLOWING ORDER:
RESPONDENT FIRST, THEN OTHER BASELINE OWNER/OPERATORS, THEN NEW OWNER/OPERATORS. NO QUESTIONS WILL BE ASKED ABOUT OWNER/OPERATORS WHO HAVE LEFT.
FOR ALL BASELINE OWNER/OPERATORS IN C4, ASK BLOCK bSectionG1
FOR ALL NEW OWNER/OPERATORS, ASK BLOCK bSectionG2
BLOCK bSectionG1— |
| |
| G1a. (Are/Is) (you/[OWNER B-J]) also a paid employee at [NAME BUSINESS]? |
YES
NO
DON’T KNOW / REFUSED
g1a_emp_owner_01_1
g1a_emp_owner_02_1
g1a_emp_owner_03_1
g1a_emp_owner_04_1
g1a_emp_owner_05_1
g1a_emp_owner_06_1
g1a_emp_owner_07_1
g1a_emp_owner_08_1
g1a_emp_owner_09_1
g1a_emp_owner_10_1 |
| G1b. During the time [NAME BUSINESS] was in business during 2005, how many hours in an average week did (you/[OWNER B-J]) spend working at [NAME BUSINESS]? |
HOURS WORKED IN AVERAGE WEEK
DON’T KNOW / REFUSED
IF DON’T KNOW OR REFUSED PROBE: Would you say it was . . .
Less than 20 hours,
20 hours to 35 hours,
36 hours to 45 hours,
46 hours to 55 hours,
56 hours to 65 hours,
66 hours or more?
DON’T KNOW / REFUSED
g1b1_hours_owner_01_1
g1b1_hours_owner_02_1
g1b1_hours_owner_03_1
g1b1_hours_owner_04_1
g1b1_hours_owner_05_1
g1b1_hours_owner_06_1
g1b1_hours_owner_07_1
g1b1_hours_owner_08_1
g1b1_hours_owner_09_1
g1b1_hours_owner_10_1
g1b2_hours_ranges_owner_01_1
g1b2_hours_ranges_owner_02_1
g1b2_hours_ranges_owner_03_1
g1b2_hours_ranges_owner_04_1
g1b2_hours_ranges_owner_05_1
g1b2_hours_ranges_owner_06_1
g1b2_hours_ranges_owner_07_1
g1b2_hours_ranges_owner_08_1
g1b2_hours_ranges_owner_09_1
g1b2_hours_ranges_owner_10_1 |
BASELINE OWNERS/OPERATORS: ANY DEMOGRAPHIC QUESTION G1d-G10a NOT ANSWERED IN BASELINE WILL BE ASKED AGAIN.
ENDBLOCK bSectionG1
BLOCK bSectionG2—for all NEW OWNERS |
| |
| G1a. (Are/Is) (you/[OWNER B-J]) also a paid employee at [NAME BUSINESS]? |
YES
NO
DON’T KNOW / REFUSED
g1a_emp_owner_01_1
g1a_emp_owner_02_1
g1a_emp_owner_03_1
g1a_emp_owner_04_1
g1a_emp_owner_05_1
g1a_emp_owner_06_1
g1a_emp_owner_07_1
g1a_emp_owner_08_1
g1a_emp_owner_09_1
g1a_emp_owner_10_1 |
| G1b. During the time [NAME BUSINESS] was in business during 2005, how many hours in an average week did (you/[OWNER B-J]) spend working at [NAME BUSINESS]? |
HOURS WORKED IN AVERAGE WEEK
DON’T KNOW / REFUSED
g1b1_hours_owner_01_1
g1b1_hours_owner_02_1
g1b1_hours_owner_03_1
g1b1_hours_owner_04_1
g1b1_hours_owner_05_1
g1b1_hours_owner_06_1
g1b1_hours_owner_07_1
g1b1_hours_owner_08_1
g1b1_hours_owner_09_1
g1b1_hours_owner_10_1 |
| G1b1. IF DON’T KNOW OR REFUSED, PROBE: Would you say it was . . . |
Less than 20 hours,
20 hours to 35 hours,
36 hours to 45 hours,
46 hours to 55 hours,
56 hours to 65 hours,
66 hours or more?
DON’T KNOW / REFUSED
g1b2_hours_ranges_owner_01_1
g1b2_hours_ranges_owner_02_1
g1b2_hours_ranges_owner_03_1
g1b2_hours_ranges_owner_04_1
g1b2_hours_ranges_owner_05_1
g1b2_hours_ranges_owner_06_1
g1b2_hours_ranges_owner_07_1
g1b2_hours_ranges_owner_08_1
g1b2_hours_ranges_owner_09_1
g1b2_hours_ranges_owner_10_1 |
| G2. How many years of work experience (have/has) (you/[OWNER B-J]) had in this industry—the one in which [NAME BUSINESS] competes? |
YEARS
DON’T KNOW / REFUSED
g2_work_exp_owner_01_1
g2_work_exp_owner_02_1
g2_work_exp_owner_03_1
g2_work_exp_owner_04_1
g2_work_exp_owner_05_1
g2_work_exp_owner_06_1
g2_work_exp_owner_07_1
g2_work_exp_owner_08_1
g2_work_exp_owner_09_1
g2_work_exp_owner_10_1 |
| G3a. How many other new businesses (have/has) (you/[OWNER B-J]) started besides [NAME BUSINESS]? |
NUMBER OF BUSINESSES (ENTER “0” FOR NONE)
DON’T KNOW / REFUSED
g3a_oth_bus_owner_01_1
g3a_oth_bus_owner_02_1
g3a_oth_bus_owner_03_1
g3a_oth_bus_owner_04_1
g3a_oth_bus_owner_05_1
g3a_oth_bus_owner_06_1
g3a_oth_bus_owner_07_1
g3a_oth_bus_owner_08_1
g3a_oth_bus_owner_09_1
g3a_oth_bus_owner_10_1 |
| IF ZERO NEW BUSINESSES AT G3a, GO TO G4. |
| |
| G3b. (Was this/Were any of the) business(es) in the same industry as [NAME BUSINESS]? |
YES
NO
DON’T KNOW / REFUSED
g3b_bus_same_ind_owner_01_1
g3b_bus_same_ind_owner_02_1
g3b_bus_same_ind_owner_03_1
g3b_bus_same_ind_owner_04_1
g3b_bus_same_ind_owner_05_1
g3b_bus_same_ind_owner_06_1
g3b_bus_same_ind_owner_07_1
g3b_bus_same_ind_owner_08_1
g3b_bus_same_ind_owner_09_1
g3b_bus_same_ind_owner_10_1 |
| G4. How old will (you/[OWNER B-J]) be on (your/his/her) next birthday? |
OWNER A
DON’T KNOW / REFUSED
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES: Would you say . . .
18-24
25-34
35-44
45-54
55-64
65-74
75 or older?
DON’T KNOW / REFUSED
g4_age_owner_01_1
g4_age_owner_02_1
g4_age_owner_03_1
g4_age_owner_04_1
g4_age_owner_05_1
g4_age_owner_06_1
g4_age_owner_07_1
g4_age_owner_08_1
g4_age_owner_09_1
g4_age_owner_10_1
g4a_age_ranges_owner_01_1
g4a_age_ranges_owner_02_1
g4a_age_ranges_owner_03_1
g4a_age_ranges_owner_04_1
g4a_age_ranges_owner_05_1
g4a_age_ranges_owner_06_1
g4a_age_ranges_owner_07_1
g4a_age_ranges_owner_08_1
g4a_age_ranges_owner_09_1
g4a_age_ranges_owner_10_1 |
| G5. (Are/Is) (you/[OWNER B-J]) of Hispanic or Latino origin? |
YES
NO
DON’T KNOW / REFUSED
g5_hisp_origin_owner_01_1
g5_hisp_origin_owner_02_1
g5_hisp_origin_owner_03_1
g5_hisp_origin_owner_04_1
g5_hisp_origin_owner_05_1
g5_hisp_origin_owner_06_1
g5_hisp_origin_owner_07_1
g5_hisp_origin_owner_08_1
g5_hisp_origin_owner_09_1
g5_hisp_origin_owner_10_1 |
| G6. I am going to read a list of race categories. Please choose one or more that best describes (your/[OWNER B-J]’s) race. Are (you [OWNER B-J]) American Indian or Alaska Native, Native Hawaiian or other Pacific Islander, Asian, Black or African American, or White? |
AMERICAN INDIAN OR ALASKA NATIVE
NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER
ASIAN
BLACK OR AFRICAN AMERICAN
WHITE
OTHER (SPECIFY)
DON’T KNOW / REFUSED
g6_race_amind_owner_01_1
g6_race_amind_owner_02_1
g6_race_amind_owner_03_1
g6_race_amind_owner_04_1
g6_race_amind_owner_05_1
g6_race_amind_owner_06_1
g6_race_amind_owner_07_1
g6_race_amind_owner_08_1
g6_race_amind_owner_09_1
g6_race_amind_owner_10_1
g6_race_asian_owner_01_1
g6_race_asian_owner_02_1
g6_race_asian_owner_03_1
g6_race_asian_owner_04_1
g6_race_asian_owner_05_1
g6_race_asian_owner_06_1
g6_race_asian_owner_07_1
g6_race_asian_owner_08_1
g6_race_asian_owner_09_1
g6_race_asian_owner_10_1
g6_race_black_owner_01_1
g6_race_black_owner_02_1
g6_race_black_owner_03_1
g6_race_black_owner_04_1
g6_race_black_owner_05_1
g6_race_black_owner_06_1
g6_race_black_owner_07_1
g6_race_black_owner_08_1
g6_race_black_owner_09_1
g6_race_black_owner_10_1
g6_race_nathaw_owner_01_1
g6_race_nathaw_owner_02_1
g6_race_nathaw_owner_03_1
g6_race_nathaw_owner_04_1
g6_race_nathaw_owner_05_1
g6_race_nathaw_owner_06_1
g6_race_nathaw_owner_07_1
g6_race_nathaw_owner_08_1
g6_race_nathaw_owner_09_1
g6_race_nathaw_owner_10_1
g6_race_other_owner_01_1
g6_race_other_owner_02_1
g6_race_other_owner_03_1
g6_race_other_owner_04_1
g6_race_other_owner_05_1
g6_race_other_owner_06_1
g6_race_other_owner_07_1
g6_race_other_owner_08_1
g6_race_other_owner_09_1
g6_race_other_owner_10_1
g6_race_white_owner_01_1
g6_race_white_owner_02_1
g6_race_white_owner_03_1
g6_race_white_owner_04_1
g6_race_white_owner_05_1
g6_race_white_owner_06_1
g6_race_white_owner_07_1
g6_race_white_owner_08_1
g6_race_white_owner_09_1
g6_race_white_owner_10_1
g6_otherspecify_owner_01_1
g6_otherspecify_owner_02_1
g6_otherspecify_owner_03_1
g6_otherspecify_owner_04_1
g6_otherspecify_owner_05_1
g6_otherspecify_owner_06_1
g6_otherspecify_owner_07_1
g6_otherspecify_owner_08_1
g6_otherspecify_owner_09_1
g6_otherspecify_owner_10_1 |
| G7. (Were/Was) (you/[OWNER B-J]) born in the United States? |
YES GO TO G9
NO / DON’T KNOW / REFUSED
g7_native_born_owner_01_1
g7_native_born_owner_02_1
g7_native_born_owner_03_1
g7_native_born_owner_04_1
g7_native_born_owner_05_1
g7_native_born_owner_06_1
g7_native_born_owner_07_1
g7_native_born_owner_08_1
g7_native_born_owner_09_1
g7_native_born_owner_10_1 |
| G8. (Are/Is) (you/[OWNER B-J]) a U.S. citizen? |
YES
NO / DON’T KNOW / REFUSED
g8_us_cit_owner_01_1
g8_us_cit_owner_02_1
g8_us_cit_owner_03_1
g8_us_cit_owner_04_1
g8_us_cit_owner_05_1
g8_us_cit_owner_06_1
g8_us_cit_owner_07_1
g8_us_cit_owner_08_1
g8_us_cit_owner_09_1
g8_us_cit_owner_10_1 |
| G9. What is the highest level of education (you/[OWNER B-J]) (have/has) completed so far? Would you say . . . |
Less than 9th grade
Some high school, but no diploma
High school graduate (diploma or equivalent diploma [GED]),
Technical, trade or vocational degree
Some college, but no degree
Associate’s degree
Bachelor’s degree
Some graduate school but no degree
Master’s degree
Professional school or doctorate?
DON’T KNOW / REFUSED
g9_education_owner_01_1
g9_education_owner_02_1
g9_education_owner_03_1
g9_education_owner_04_1
g9_education_owner_05_1
g9_education_owner_06_1
g9_education_owner_07_1
g9_education_owner_08_1
g9_education_owner_09_1
g9_education_owner_10_1 |
BY OBSERVATION:
G10. (Are/Is) (you/[OWNER B-J]) male or female? |
MALE
FEMALE
DON’T KNOW / REFUSED
g10_gender_owner_01_1
g10_gender_owner_02_1
g10_gender_owner_03_1
g10_gender_owner_04_1
g10_gender_owner_05_1
g10_gender_owner_06_1
g10_gender_owner_07_1
g10_gender_owner_08_1
g10_gender_owner_09_1
g10_gender_owner_10_1 |
ENDBLOCK bSectionG2
SECTION G ARRAYED UP TO 10 TIMES, ONCE FOR EACH NEW OWNER. |
| |
| G11. IF EMAIL ADDRESS COLLECTED AT BASELINE: |
Can we confirm your email address?
INTERVIEWER: READ E-MAIL ADDRESS AND CORRECT AS NECESSARY.
IF EMAIL ADDRESS FIELD BLANK FROM BASELINE:
Can you give us an email address where you can be reached?
EMAIL:
DON’T KNOW / REFUSED |
G12. IF WEBSITE ADDRESS COLLECTED AT BASELINE:
May we confirm your web site address as: |
Web Address: .
INTERVIEWER: CORRECT AS NECESSARY GO TO G14
IF WEBSITE ADDRESS BLANK FROM BASELINE:
Does [NAME BUSINESS] have its own website?
YES
NO
DON’T KNOW / REFUSED |
| G13. Can you give me the web address? |
WEB ADDRESS: .
DON’T KNOW / REFUSED |
| G14. Is the business likely to move to another location in the next 12 months? |
YES
NO
DON’T KNOW / REFUSED |
| G15. What city and state is the business likely to move to? |
CITY:
STATE:
DON’T KNOW / REFUSED |
G16. IF CONTACT INFORMATION COLLECTED AT BASELINE:
Here is the information we have for a contact person. This information will be held in the strictest confidence, and will only be used if we cannot contact you or someone else associated with the business at the current business phone number or address. |
INTERVIEWER: PLEASE ASK FOR ANY INFORMATION THAT IS NOT FILLED IN.
NAME:
ADDRESS:
CITY:
STATE:
PHONE:
EMAIL: @
DON’T KNOW / REFUSED
IF CONTACT INFORMATION IS BLANK FROM BASELINE:
In case we are unable to contact you, can you provide a name and contact information for a person besides yourself who would know how to reach you or someone else associated with [NAME BUSINESS]? All information collected will be held in the strictest confidence, and will only be used if we cannot contact you or someone else associated with the business at the current business phone number or address.
NAME:
ADDRESS:
CITY:
STATE:
PHONE:
EMAIL: @
DON’T KNOW / REFUSED |
| THANK AND TERMINATE |
 H. Computed Group Variables
 The Second Follow-Up
 A. Introduction
| INTRO: Hello, my name is ______________. I’m calling on behalf of the Kauffman Foundation of Kansas City. |
| |
| A1. May I speak with ([CEO/OWNER]/the owner or CEO of [NAME BUSINESS])? |
CEO/OWNER = First Follow-Up Respondent for Section A.
OWNER/CEO—PROCEED WITH INTERVIEW
OWNER/CEO—BAD TIME/CALL BACK GO TO A2a
OWNER/CEO NOT AVAILABLE GO TO Inform
OWNER/CEO NO LONGER WITH BUSINESS GO TO A1a
[then A4web if A1a=1]
BUSINESS NO LONGER IN OPERATION GO TO A10
DON’T KNOW /REFUSED |
A1a. Your business has been participating in the Kauffman Firm Survey. Last year we asked you some questions about [NAME BUSINESS]’s operations in 2004 and 2005. Now we’d like to ask about calendar year 2006.
We'd like to confirm that the name of the business is [NAME BUSINESS] and that [NAME BUSINESS] is still operating. |
|
[NAME BUSINESS] IS THE CURRENT NAME AND [NAME BUSINESS] IS STILL OPERATING GO TO A1b
THE BUSINESS NAME IS INCORRECT GO TO A2Web
[NAME BUSINESS] IS OUT OF BUSINESS GO TO A10
DON’T KNOW / REFUSED
|
| A1b. We’d like to confirm that you are [OWNER NAME] and you are you are still an owner of [NAME BUSINESS]? |
[OWNER NAME] IS THE RESPONDENT AND IS STILL AN OWNER OF [NAME BUSINESS]
[OWNER NAME] IS THE RESPONDENT AND IS STILL AN OWNER OF [NAME BUSINESS], BUT
CORRECT [OWNER NAME]’s NAME GO TO A4aWeb
RESPONDENT IS NOT [OWNER NAME] GO TO A4Webz
THE RESPONDENT [OWNER NAME] IS NO LONGER AN OWNER OF [NAME BUSINESS] GO TO A5a Box |
| A1c. We’d like to confirm that the title of your position is [TITLE]? Is that correct? |
YES GO TO A5
NO
DON’T KNOW GO TO A5
REFUSED GO TO A5 |
| A1d. What is your job title? |
| INTERVIEWER: ENTER JOB TITLE. Update Title GO TO A5 |
A2a. I’m sorry. When would be a better time to reach (you/[OWNER])?
INTERVIEWER: ENTER CALLBACK DATE AND TIME.
READ: Is this the best number to reach you?
INTERVIEWER: UPDATE CONTACT INFORMATION AS NEEDED.
Thank you very much. Good-bye.
THANK AND TERMINATE |
| |
|
A2Web. What is the correct business name?
INTERVIEWER: TYPE IN BUSINESS NAME.
A3Web. Is this a corrected spelling, a name change but the same business, or a different business?
SPELLING CORRECTION GO TO A1b
NAME CHANGE/SAME COMPANY GO TO A1b
DIFFERENT COMPANY
A3Webz. We are trying to find out what happened to [NAME BUSINESS]. Is [NAME BUSINESS] still in operation?
YES GO TO A1b
NO GO TO A10
A4Webz Is [OWNER NAME] still an owner and actively involved in running [NAME BUSINESS]?
IF NEEDED: By actively involved, we mean providing regular assistance or advice with day-to-day operations of the business rather than providing only money or occasional operating assistance.
YES
NO GO TO A5a Box
DON’T KNOW
REFUSED
A4Webz1 Would [OWNER NAME] be available to do the study at another time?
YES
NO
DON’T KNOW
REFUSED
A4aWeb What is the correct spelling of your name?
NAME:
|
| |
| A5. Are you still actively involved in running [NAME BUSINESS]? By actively involved in running the business, we mean providing regular assistance or advice with day-to-day operations of the business rather than providing only money or occasional operating assistance. |
YES GO TO A4
NO
DON’T KNOW GO TO A4
REFUSED GO TO A4
a5_actively_involved_2 |
A5A BOX:
IF MORE THAN ONE OWNER-OPERATOR-FOUNDER FROM FIRST FOLLOW-UP, ASK A5a. ELSE, ASK A4Web.
A5a. During the last interview with your business, we recorded other owners of [NAME BUSINESS]. Please tell me the person who is an owner of the business, is actively involved in running [NAME BUSINESS], and will answer this study.
By actively involved in running the business, we mean providing regular assistance or advice with day-to-day operations of the business rather than providing only money or occasional operating assistance.
READ THE OWNER NAMES BELOW. SELECT ONLY ONE.
NEW OWNER-OPERATOR WILL ANSWER GO TO A5aweb1
[NAME OWNER] 2-9 GO TO A7Title
NON-OWNER WILL ANSWER 11 GO TO A5aweb1
INTERVIEWER: CODE 11 ONLY WITH SUPERVISOR PERMISSION AND WRITE NOTE DOCUMENTING CIRCUMSTANCES |
| A4Web Who is currently an (OWNER/CEO) of [NAME BUSINESS]? |
| NAME: |
| A4Webz2 Are you (OWNER/CEO)? |
YES
NO GO TO Inform
|
| A5new. And are you actively involved in running [NAME BUSINESS]? By actively involved in running the business, we mean providing regular assistance or advice with day-to-day operations of the business rather than providing only money or occasional operating assistance. |
YES GO TO A4new
NO
a5new_actively_involved_2 |
A7. Is there another owner of [NAME BUSINESS] who is actively involved in running [NAME BUSINESS], and can answer questions about the business?
PROBE: By actively involved in running the business, we mean providing regular assistance or advice with day-to-day operations of the business rather than providing only money or occasional operating assistance. |
YES
NO GO TO Stop5 |
A5aWeb1 Who is another owner of [NAME BUSINESS] who is actively involved in running [NAME BUSINESS], and can answer questions about the business?
|
ENTER FIRST NAME ______________________________________
ENTER LAST NAME ______________________________________
ENTER JOB TITLE ______________________________________ |
| A4Webz2 Are you (OWNER/CEO)? |
YES GO TO A4new
NO |
Inform. Do you know a good time and date I can call to contact (OWNER/CEO)?
INTERVIEWER: ENTER CALLBACK DATE AND TIME.
THANK AND TERMINATE
Stop5. Thank you for your time. |
| A7Title. What is the title of [OWNER NAME]? |
| |
| A4Webz2 Are you (OWNER NAME)? |
YES GO TO A4new
NO GO TO Inform |
A4. You participated last year in the Kauffman Firm Survey. We asked some questions about [NAME BUSINESS] operations in 2004 and 2005. Now we’d like to ask about the year 2006. Again, your answers will be completely confidential, and you will once again receive a $50 payment as a token of our appreciation.
GO TO A8 |
| A4new. Your business participated last year in the Kauffman Firm Study. We asked some questions about [NAME BUSINESS]’s operation in 2004 and 2005. Now we’d like to ask about the year 2006. Again, your answers will be kept confidential, and you will receive a $50 payment as a token of our appreciation. |
A8. I’d like to confirm your business’ mailing address. Is [NAME BUSINESS]’s mailing address (ADDRESS, CITY, STATE, ZIP)?
WEB: Our records indicate that the mailing address for [NAME BUSINESS] is (ADDRESS, CITY, STATE, ZIP). Is this correct? |
YES GO TO C1z
NO GO TO A9
DON’T KNOW /REFUSED
a8_addr_ver_2 |
| A9. What is [NAME BUSINESS]’s correct mailing address? |
INTERVIEWER: UPDATE MAILING ADDRESS INFORMATION.
ADDRESS:
CITY:
STATE: ZIP:
DON’T KNOW /REFUSED
GO TO C1z |
| A10. What is the main reason [NAME BUSINESS] is out of business? |
SOLD TO ANOTHER BUSINESS
MERGED WITH ANOTHER BUSINESS
TEMPORARILY STOPPED OPERATIONS
PERMANENTLY STOPPED OPERATIONS GO TO A11a
OTHER (SPECIFY)
DON’T KNOW / REFUSED
A10_Out_Of_Business_2
THANK AND TERMINATE
|
| A11a. Did [NAME BUSINESS] file for bankruptcy? |
|
YES
NO
DON’T KNOW/ REFUSED
A11a_Bankruptcy_2
THANK AND TERMINATE
|
 C. Business Characteristics
| All of the following questions I’m going to ask are about [NAME BUSINESS]. Some of the questions will ask to confirm information about your business which you provided to us previously. As we go through the interview, please tell me if any of the information about your business is incorrect and needs to be updated. |
| |
| C1z. Our records show that [NAME BUSINESS] had a legal status of [tOWNERshipModel]. As of December 31, 2006, is that still the legal status of [NAME BUSINESS]? |
YES GO TO C1a
NO
DON’T KNOW / REFUSED
C1z_Confirm_Legal_Status_2 |
| C1z2. I’m going to read you a list of some different forms of legal status a business can have. As of December 31, 2006, which form of legal status did [NAME BUSINESS] have? Was it a . . . |
Sole Proprietorship,
Limited Liability Company,
Subchapter S-Corporation,
C-Corporation,
General Partnership,
Limited Partnership, or
Something else? (SPECIFY)
DON’T KNOW / REFUSED
C1z2_Legal_Status_2 |
| C1a. Our records indicate the principal activity of the business was [D&B NAICS CODE DESCRIPTION OR LAST YEAR’S OTHER SPECIFY TO THIS QUESTION]. Was that still the principal activity of the business as of December 31, 2006? |
YES GO TO C2
NO
DON’T KNOW / REFUSED
C1a_NAICS_verification_2 |
| C1b. As of December 31, 2006, what was the principal activity of the business? |
| IF SOLE PROPRIETORSHIP IN [tOWNERshipModel] [or C1z2], GO TO C5. |
| C2. As of December 31, 2006, how many individuals or entities owned [NAME BUSINESS]? Please include all individuals or entities who owned shares in the business. |
NUMBER OF OWNERS
DON’T KNOW / REFUSED
C2_Owners_2 |
| C3. Of the [NUMBER OF OWNERS FROM C2] owners as of December 31, 2006, how many owners actively helped to run [NAME BUSINESS]? By helped to run the business we mean that they provided regular assistance or advice with day-to-day operations of the business, rather than providing only money or occasional operating assistance. |
NUMBER OF OWNER/OPERATORS
DON’T KNOW/ REFUSED
C3a_Owner_ Operators_2 |
IF ONE OWNER/OPERATOR REPORTED AT C3, GO TO C5. IF MORE THAN ONE OWNER/OPERATOR REPORTED AT C3, ASK:
C4. FOR EACH FIRST FOLLOW-UP OWNER/OPERATOR WHO IS NOT THE RESPONDENT, ASK:
Was [OWNER NAME] still an owner who actively helped run [NAME BUSINESS]—as of December 31, 2006?
YES
NO
YES BUT THE NAME IS MISSPELLED
DON’T KNOW / REFUSED
FOR ALL MISSPELLED NAMES, ASK: How do you spell (your/his/her) name?
INTERVIEWER: ENTER NAME
THEN ASK:
How many other people, not previously listed, were owners actively helping to run [NAME BUSINESS] as of December 31, 2006?
INTERVIEWER: PREVIOUSLY LISTED PEOPLE ARE STATED BELOW. NUMBER OF OWNERS STATED IN C3: [FILL FROM C3]
I want to record with you the first and last names of these owners. These are the people who joined the business between the last time we talked to you and December 31, 2006. I’m going to be asking some questions about each of the owners who actively helped run [NAME BUSINESS]. Can you tell me the first and last name of the other owner(s) of ABC Business?
INTERVIEWER: ENTER FIRST AND LAST NAMES. |
C4Confirm.
I have listed:
FIRST NAME LAST NAME OWNER A (RESPONDENT) OWNER B OWNER C OWNER D [C4_NumOwners_Confirm_2]
Are there any other owner-operators as of December 31, 2006 of [NAME BUSINESS] that I have not mentioned?
INTERVIEWER: CONFIRM SPELLING OF NAMES. TO CORRECT NAMES, ARROW BACK TO TABLE.
ADD ANOTHER NAME OR
CORRECT A MISSPELLING
NO CHANGES
NOTE: UP TO 10 OWNER/OPERATOR/FOUNDERS WILL BE INCLUDED.
C4_NumOwners_Confirm_2 |
| C5. Not counting owner(s), on December 31, 2006, how many people worked for [NAME BUSINESS]? Please include all full- and part-time employees, but exclude contract workers who work for the business either full- or part-time but are not on the business’ official payroll. |
NUMBER OF EMPLOYEES ON DECEMBER 31, 2006
DON’T KNOW /REFUSED
C5_Num_Employees_2 |
| C5b. Was this change an increase, a decrease, or no change in the number of people who worked for [NAME BUSINESS] on December 31, 2006 compared to December 31, 2005? |
INCREASE
DECREASE
NO CHANGE
DON’T KNOW / REFUSED
C5b_Num_Employees_Change_2 |
| C5c. And what was the (increase/decrease) in the number of people who worked for [NAME BUSINESS] on December 31, 2006 compared to December 31, 2005? Your best estimate is fine. |
CHANGE IN NUMBER OF EMPLOYEES
DON’T KNOW / REFUSED
C5c_Num_Employees_Change_Amt_2
IF BUSINESS REPORTED “0” EMPLOYEES AT C5, GO TO C8. |
| C6. . . . And of those [NUMBER FROM C5], how many were full-time? (IF NEEDED: Full time is considered 35 hours or more per week) |
NUMBER OF DECEMBER 31, 2006
FULL-TIME EMPLOYEES
DON’T KNOW / REFUSED
C6_Num_FT_Employees_2 |
| C7. . . . And how many were part-time? (IF NEEDED: Part-time is considered less than 35 hours per week) |
NUMBER OF DECEMBER 31, 2006 PART-TIME EMPLOYEES
DON’T KNOW / REFUSED
C7_Num_PT_Employees_2 |
| C8z. Our records show that the primary location where [NAME BUSINESS] operates is [tPrimaryLocation]. Is that correct? |
YES GO TO C10
NO
DON’T KNOW / REFUSED GO TO C10
C8z_Primary_Loc_Confirm_2 |
| C8. How would you describe the primary location where [NAME BUSINESS] operates? Is it . . . |
A residence such as a home or garage,
A rented or leased space,
Space the business purchased,
A site where a client is located, or
Some other location? (SPECIFY)
DON’T KNOW / REFUSED
C8_Primary_Loc_2
c8_primary_loc_specify_2 |
| C9. What was the main reason for the change of location? |
Previous location too expensive
Needed more space due to growth of business
Moved closer to customers
Moved business and residence to new location
OTHER (SPECIFY)
DON’T KNOW / REFUSED
c9_loc_change_reason_2
c9otherspecify_2 |
| C10. As of December 31, 2006, did [NAME BUSINESS] operate in more than one location? |
YES
NO GO TO D1
c10_morelocations_2 |
| C11. And as of December 31, 2006, how many locations did [NAME BUSINESS] operate in? |
NUMBER OF LOCATIONS AS OF DECEMBER 31, 2006
c11_num_locations_2 |
| C11a. In what month and year did you open your second location? |
Month _____________________ Year | 2 | 0 | 0 | |
c11a_2ndopening_month_2
c11a_2ndopening_year_2 |
| |
 D. Strategy and Innovation
| D1. Does [NAME BUSINESS] provide (READ ITEM)? |
a. A service YES NO DON’T KNOW REFUSED
b. A product YES NO DON’T KNOW REFUSED
d1a_provide_service_2
d1b_provide_product_2 |
| D2. Businesses often have to compete with other businesses. A competitive advantage is something unique or distinctive a business provides that gives it an advantage compared to competitors. In calendar year 2006, did [NAME BUSINESS] have a competitive advantage over its competitors? |
YES
NO
DON’T KNOW / REFUSED
d2_comp_advantage_2 |
D3. Whether assigned by an owner or obtained in some other way, does [NAME BUSINESS] have any of the following? (READ LIST)
FOR EACH “YES,” ASK: How many (READ ITEM) does [NAME BUSINESS] have?
INTERVIEWERS IF NEEDED:
Patent: A patent is a right given by the government to preclude others from making and selling an invention for 20 years from the date of application in return for disclosure of how the invention operates.
Copyright: The legal right granted to authors, composers, artists and publishers to protect their thoughts and ideas for exclusive publication, reproduction, sale and distribution of their works.
Trademark: Words, names, symbols or devices, or any combination of these used to identify the goods of a business and to distinguish these goods from the goods of others. |
a. Patents YES NO DON’T KNOW REFUSED
b. Copyrights YES NO DON’T KNOW REFUSED
c. Trademarks YES NO DON’T KNOW REFUSED
FOR EACH “YES,” ASK: How many
d3_a_have_patent_2
d3_a_num_patent_2
d3_b_have_copyright_2
d3_b_num_copyright_2
d3_c_have_trademark_2
d3_c_num_trademark_2 |
| D4. “Licensing out” is licensing patents, copyrights, or trademarks owned by the business to other parties under a licensing agreement. In calendar year 2006, did [NAME BUSINESS] license out any (READ ITEM)? |
a. Patents YES NO DON’T KNOW REFUSED
b. Copyrights YES NO DON’T KNOW REFUSED
c. Trademarks YES NO DON’T KNOW REFUSED
d4_a_lic_out_patent_2
d4_b_lic_out_copyright_2
d4_c_lic_out_trademark_2 |
| D5. “Licensing in” is acquiring the right to use intellectual property such as patents, copyrights, or trademarks created by someone outside the business through a licensing agreement. In calendar year 2006, did [NAME BUSINESS] license in any (READ ITEM)? |
a. Patents YES NO DON’T KNOW REFUSED
b. Copyrights YES NO DON’T KNOW REFUSED
c. Trademarks YES NO DON’T KNOW REFUSED
d5_a_lic_in_patent_2
d5_b_lic_in_copyright_2
d5_c_lic_in_trademark_2 |
| D6. Did [NAME BUSINESS] have any customers or sales in calendar year 2006? |
YES
NO
DON’T KNOW / REFUSED
d6_have_sales_2 |
| D7. I’d like to learn more about the type of customers that [NAME BUSINESS] had during calendar year 2006. I am going to ask you to estimate the percent of the business’ sales that were made to individuals, businesses, and government agencies. The total should equal 100%. |
a. During calendar year 2006, what percentage of the business’ sales were to private individuals?
PERCENTAGE
DON’T KNOW /REFUSED
b. What percentage of the business’ sales were to other businesses? [IF NEEDED: Please include sales to for-profit and not-for-profit business.]
PERCENTAGE
DON’T KNOW /REFUSED
c. What percentage of the business’ sales were to government agencies?
PERCENTAGE
DON’T KNOW /REFUSED
d7_perc_sales_bus_2
d7_perc_sales_govt_2
d7_perc_sales_indiv_2 |
 E. Business Organization and HR Benefits
IF ONE OWNER REPORTED AT C2 AND BUSINESS REPORTED “0” EMPLOYEES AT C5, GO TO F1.
Next, I’d like to ask about how [NAME BUSINESS] is organized and about the benefits that are offered to employees. |
| |
|
| E1. On December 31, 2006, how many employees or owners, if any, did [NAME BUSINESS] have who were primarily responsible for (READ ITEM)? Please include only full- and part-time employees, but not contract workers who work for the business but are not on the business’ official payroll. |
a. Human resources such as employee benefits, recruitment, or hiring
b. Sales or Marketing such as sales, market research, customer analysis, or promotional activities
c. Executive administration functions such as strategic planning, competitive analysis, shareholder relations, or general management
d. Research and development on new products or services
e. Production or manufacturing such as producing materials or products, production planning, production control, quality control, or storage
f. General administration such as office management, responding to maintenance requests, purchase supplies, or training employees in office procedures
g. Financial administration such as accounting procedures, budgeting, financial analysis, or investment activities
h. Does [NAME BUSINESS] have employees with any other key responsibilities? (SPECIFY)
NUMBER EMPLOYEES OR OWNERS
e1_a_num_human_res_2
e1_b_num_sales_2
e1_c_num_exec_admin_2
e1_d_num_resdev_2
e1_e_num_prod_manu_2
e1_f_num_gen_admin_2
e1_g_num_fin_admin_2
e1_h_num_other_2
e1_h_other_specify_2 |
| E2a. As of December 31, 2006, did [NAME BUSINESS] offer full-time employees or owners (READ ITEM): |
a. A health insurance plan either through the business or an association
b. A retirement plan such as profit sharing, pension, including 401K, annuity, Keogh, etc.
c. Stock options or other stock ownership
d. A bonus plan
e. Tuition reimbursement
f. Paid vacation
g. Paid sick days
h. Alternative work schedules such as flex time or job sharing
i. Any other benefits? (SPECIFY)
e2a_ft_emp_hlth_plan_2
e2a_ft_emp_retire_plan_2
e2a_ft_emp_stock_own_2
e2a_ft_emp_bonus_plan_2
e2a_ft_emp_tuit_reim_2
e2a_ft_emp_paid_vaca_2
e2a_ft_emp_paid_sick_2
e2a_ft_emp_flex_time_2
e2a_ft_emp_other_2
e2a_other_specify_2 |
IF ZERO PART-TIME EMPLOYEES AT C7, GO TO F1.
E2b. As of December 31, 2006, did [NAME BUSINESS] offer part-time employees (READ ITEM): |
a. A health insurance plan either through the business or an association
b. A retirement plan such as profit sharing, pension, including 401K, annuity, Keogh, etc.
c. Stock options or other stock ownership
d. A bonus plan
e. Tuition reimbursement
f. Paid vacation
g. Paid sick days
h. Alternative work schedules such as flex time or job sharing
i. Any other benefits? (SPECIFY)
e2b_pt_emp_retire_plan_2
e2a_ft_emp_retire_plan_2
e2b_pt_emp_stock_own_2
e2b_pt_emp_bonus_plan_2
e2b_pt_emp_tuit_reim_2
e2b_pt_emp_paid_vaca_2
e2b_pt_emp_paid_sick_2
e2b_pt_emp_flex_time_2
e2b_pt_emp_other_2
e2b_other_specify_2 |
 F. Business Finances
F1. Now I’d like to ask about [NAME BUSINESS]’s financing. Businesses can get money from the savings or investments of the owner(s), money from spouses, family or other individuals, from companies, borrowing in an owner’s name, venture funds, or by borrowing in the name of the business. Some of the funds must be paid back and other funds represent an equity stake or share of the business. We will ask some questions about what happened during calendar year 2006, some questions about what has happened since the business began, and other questions about balances as of December 31, 2006.
F1a. First, in calendar year 2006, did [you/OWNER B-J] put any of your own money into [NAME BUSINESS] in return for an ownership share of the business? Please do not include any money borrowed from others or from credit cards.
IF NEEDED: This would include all additional money invested by [you/OWNER NAME] in the business during calendar year 2006. |
YES
NO GO TO F2a1
DON’T KNOW / REFUSED GO TO F2a1
f2_owner_eq_invest_01_2 |
| F2a. IF YES: How much of [your/her/his] own money did [you/he/she] put into the business during calendar year 2006? IF NEEDED: Your best estimate is fine. |
OWNER A $
DON’T KNOW / REFUSED
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES: Would you say it was . . .
$500 or less, 01
$501 to $1,000, 02
$1,001 to $3,000, 03
$3,001 to $5,000, 04
$5,001 to $10,000, 05
$10,001 to $25,000, 06
$25,001 to $100,000, 07
$100,001 to $1,000,000, 08
$1,000,001 or more? 09
DON’T KNOW /REFUSED
f2_owner_amt_eq_invest_01_2
f2_ownr_amt_eqinvest_range_01_2 |
F2a1. Counting all years, how much of [your/OWNER B-J] own money did [you/she/he] put into [NAME BUSINESS] as of December 31, 2006?
IF NEEDED: This includes all money [you/she/he] invested in the business as of December 31, 2006. |
TOTAL EQUITY
DON’T KNOW / REFUSED
PROBE: IF DON’T KNOW OR REFUSED, PROBE WITH RANGES:
Would you say it was . . .
$500 or less, 01
$501 to $1,000, 02
$1,001 to $3,000, 03
$3,001 to $5,000, 04
$5,001 to $10,000, 05
$10,001 to $25,000, 06
$25,001 to $100,000, 07
$100,001 to $1,000,000, 08
$1,000,001 or more? 09
DON’T KNOW /REFUSED
IF F2a IS GREATER THAN F2a1:
I may have made a mistake. The amount invested in 2006 is greater than the amount invested in all years combined. Is there an error?
f2_ownr_amt_eqinvest_allyrs_01_2
f2_ownr_eqinvst_allyrs_range01_2 |
| F2b. What percentage of the business did [you/OWNER B-J] own on December 31, 2006? |
PERCENTAGE OF BUSINESS
DON’T KNOW /REFUSED
f2_owner_perc_own_01_2
IF MORE THAN ONE OWNER/OPERATOR AT C4, ASK F1a-F2b FOR EACH OWNER/OPERATOR. OTHERWISE, GO TO F3.
f2_owner_amt_eq_invest_01_2
f2_owner_amt_eq_invest_02_2
f2_owner_amt_eq_invest_03_2
f2_owner_amt_eq_invest_04_2
f2_owner_amt_eq_invest_05_2
f2_owner_amt_eq_invest_06_2
f2_owner_amt_eq_invest_07_2
f2_owner_amt_eq_invest_08_2
f2_owner_amt_eq_invest_09_2
f2_owner_amt_eq_invest_10_2
f2_owner_eq_invest_01_2
f2_owner_eq_invest_02_2
f2_owner_eq_invest_03_2
f2_owner_eq_invest_04_2
f2_owner_eq_invest_05_2
f2_owner_eq_invest_06_2
f2_owner_eq_invest_07_2
f2_owner_eq_invest_08_2
f2_owner_eq_invest_09_2
f2_owner_eq_invest_10_2
f2_owner_perc_own_01_2
f2_owner_perc_own_02_2
f2_owner_perc_own_03_2
f2_owner_perc_own_04_2
f2_owner_perc_own_05_2
f2_owner_perc_own_06_2
f2_owner_perc_own_07_2
f2_owner_perc_own_08_2
f2_owner_perc_own_09_2
f2_owner_perc_own_10_2
f2_ownr_amt_eqinvest_allyrs_01_2
f2_ownr_amt_eqinvest_allyrs_02_2
f2_ownr_amt_eqinvest_allyrs_03_2
f2_ownr_amt_eqinvest_allyrs_04_2
f2_ownr_amt_eqinvest_allyrs_05_2
f2_ownr_amt_eqinvest_allyrs_06_2
f2_ownr_amt_eqinvest_allyrs_07_2
f2_ownr_amt_eqinvest_allyrs_08_2
f2_ownr_amt_eqinvest_allyrs_09_2
f2_ownr_amt_eqinvest_allyrs_10_2
f2_ownr_amt_eqinvest_range_01_2
f2_ownr_amt_eqinvest_range_02_2
f2_ownr_amt_eqinvest_range_03_2
f2_ownr_amt_eqinvest_range_04_2
f2_ownr_amt_eqinvest_range_05_2
f2_ownr_amt_eqinvest_range_06_2
f2_ownr_amt_eqinvest_range_07_2
f2_ownr_amt_eqinvest_range_08_2
f2_ownr_amt_eqinvest_range_09_2
f2_ownr_amt_eqinvest_range_10_2
f2_ownr_eqinvst_allyrs_range01_2
f2_ownr_eqinvst_allyrs_range02_2
f2_ownr_eqinvst_allyrs_range03_2
f2_ownr_eqinvst_allyrs_range04_2
f2_ownr_eqinvst_allyrs_range05_2
f2_ownr_eqinvst_allyrs_range06_2
f2_ownr_eqinvst_allyrs_range07_2
f2_ownr_eqinvst_allyrs_range08_2
f2_ownr_eqinvst_allyrs_range09_2
f2_ownr_eqinvst_allyrs_range10_2 |
| IF SOLE PROPRIETORSHIP AT QUESTION C1z OR C1z2, GO TO F6b. |
| |
| F3. Equity investment is money received in return for some portion of ownership, and it is another way to fund business expenses. During calendar year 2006, did the business obtain equity financing from any of the following sources? |
a. Spouses or life partners of owners of the business. This does not include spouses or life partners already named as owners
b. Parents, in-laws or children of owners of the business
c. Individuals who are not spouses or life partners, parents, in-laws or children of the owners, excluding venture capitalists
d. Other companies
e. Government agencies
f. Venture capitalists
g. Any other sources? (SPECIFY)
f3a_eq_invest_spouse_2
f3b_eq_invest_parents_2
f3c_eq_invest_angels_2
f3d_eq_invest_companies_2
f3e_eq_invest_govt_2
f3f_eq_invest_vent_cap_2
f3g_eq_invest_other_2 |
F4. FOR EACH EQUITY FINANCING OPTION REPORTED AS “YES” ABOVE, ASK:
In calendar year 2006, how much money did [NAME BUSINESS] receive from [EQUITY OPTION]? |
$ CALENDAR YEAR 2006 AMOUNT FROM EQUITY OPTION
DON’T KNOW /REFUSED
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES: Would you say it was . . .
$500 or less,
$501 to $1,000,
$1,001 to $3,000,
$3,001 to $5,000,
$5,001 to $10,000,
$10,001 to $25,000,
$25,001 to $100,000,
$100,001 to $1,000,000,
$1,000,001 or more?
DON’T KNOW/ REFUSED
f4_eq_amt_angels_2
f4_eq_amt_companies_2
f4_eq_amt_govt_2
f4_eq_amt_other_2
f4_eq_amt_parents_2
f4_eq_amt_spouse_2
f4_eq_amt_vent_cap_2
f4a_eq_amt_angels_ranges_2
f4a_eq_amt_companies_ranges_2
f4a_eq_amt_govt_ranges_2
f4a_eq_amt_other_ranges_2
f4a_eq_amt_parents_ranges_2
f4a_eq_amt_spouse_ranges_2
f4a_eq_amt_vent_cap_ranges_2 |
F4a. Counting all years, how much did [EQUITY OPTION] put into [NAME BUSINESS] as of December 31, 2006?
PROBE: This includes all money invested by [EQUITY OPTION] in all years. |
$ TOTAL EQUITY
DON’T KNOW /REFUSED
PROBE: IF DON’T KNOW OR REFUSED, PROBE WITH RANGES: Would you say it was . . .
$500 or less, 01
$501 to $1,000, 02
$1,001 to $3,000, 03
$3,001 to $5,000, 04
$5,001 to $10,000, 05
$10,001 to $25,000, 06
$25,001 to $100,000, 07
$100,001 to $1,000,000, 08
$1,000,001 or more? 09
DON’T KNOW /REFUSED
f4_eq_amt_angels_allyrs_2
f4_eq_amt_angels_allyrs_ranges_2
f4_eq_amt_comp_allyrs_range_2
f4_eq_amt_companies_allyrs_2
f4_eq_amt_govt_allyrs_2
f4_eq_amt_govt_allyrs_ranges_2
f4_eq_amt_other_allyrs_2
f4_eq_amt_other_allyrs_ranges_2
f4_eq_amt_parents_allyrs_2
f4_eq_amt_parents_allyrs_range_2
f4_eq_amt_spouse_allyrs_2
f4_eq_amt_vent_cap_allyrs_2
f4_eq_amt_ventcap_allyrs_range_2
IF F4 IS GREATER THAN F4a:
I may have made a mistake. The amount invested in 2006 is greater than the amount invested in all years combined. Is there an error? |
F5. FOR EACH EQUITY FINANCING OPTION REPORTED AS “YES” ABOVE, ASK:
What was the total percentage of the business owned by the [EQUITY OPTION] who invested money in the business as of December 31, 2006? |
PERCENT
DON’T KNOW / REFUSED
f5_perc_owned_angels_2
f5_perc_owned_companies_2
f5_perc_owned_govt_2
f5_perc_owned_other_2
f5_perc_owned_parents_2
f5_perc_owned_spouse_2
f5_perc_owned_vent_cap_2
INTERVIEWER CHECK BOX: CHECK ANSWER FROM F2b AND F5 FOR TOTAL PERCENTAGE OF BUSINESS ACCOUNTED FOR.
f6check_2
IF TOTAL PERCENTAGE EQUALS 100%, GO TO F6a
IF TOTAL EQUALS LESS OR MORE THAN 100% |
F6. So far, you’ve given me the following information on who owns [NAME BUSINESS]: [LIST EQUITY INVESTORS FROM F2b AND F5]. Can we review this list?
REVIEW LIST OF OWNERS AND PERCENTAGES WITH RESPONDENT. MAKE CHANGES AS NEEDED, ADDING NEW OWNERS AND/OR PERCENTAGES AS NECESSARY. |
f6_perc_owned_owner_01_2
f6_perc_owned_owner_02_2
f6_perc_owned_owner_03_2
f6_perc_owned_owner_04_2
f6_perc_owned_owner_05_2
f6_perc_owned_owner_06_2
f6_perc_owned_owner_07_2
f6_perc_owned_owner_08_2
f6_perc_owned_owner_09_2
f6_perc_owned_owner_10_2
f6_perc_owned_owner_11_2
f6_perc_owned_owner_12_2 |
F6a. Have you or other owners withdrawn money from the business for personal use in 2006?
INTERVIEWER: IF NEEDED—This does not include owner salaries. |
YES
NO
DON’T KNOW / REFUSED
f6a_personal_use_2 |
| F6b. IF YES: Thinking of calendar year 2006, how much money, if any, did you and other owners withdraw from the business for personal use? This includes any dividends paid. |
TOTAL DRAWINGS 2006
DON’T KNOW / REFUSED
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES: Would you say it was . . .
$500 or less,
$501 to $1,000,
$1,001 to $3,000,
$3,001 to $5,000,
$5,001 to $10,000,
$10,001 to $25,000,
$25,001 to $100,000,
$100,001 to $1,000,000,
$1,000,001 or more?
DON’T KNOW / REFUSED
f6b_personal_use_amt_2006_2
f6b_personaluse_amt_2006_range_2 |
F7a. Another way to finance a business is debt financing. Debt is money borrowed that has to be paid back with or without interest.
We will be talking about categories of debt based on who is responsible for paying it back. For each category, I’ll ask you about several sources of debt business owners or businesses can use to fund operations. We want to make sure that any business-related debt is reported in the right category, and is reported only once. I will identify each category and remind you when I change categories. Here is the first category.
I’m going to ask you about some different types of debt financing you may have borrowed in your name on behalf of [NAME BUSINESS]. For each, please tell me if you used this type at any time during calendar year 2006. Did you use [NAME FINANCING OPTION FROM LIST]? |
YES/NO/DON’T KNOW / REFUSED
a. Personal credit cards for business-related purposes
b. Personal loans from a bank or other financial institution, such as a mortgage or home equity loan used for the business
c. Business or corporate credit cards issued in your name
d. Personal loans from any family or friends
e. Personal loans from any other individuals not associated with the management of the business
f. Any other sources? (SPECIFY)
f7_pers_other_specify_2
f7a_bus_credcard_2
f7a_pers_credcard_2
f7a_pers_loan_bank_2
f7a_pers_loan_fam_2
f7a_pers_loan_other_2
f7a_pers_other_2 |
| F7b. IN BELOW LIST, FOR EACH DEBT FINANCING OPTION BUSINESS REPORTED, ASK: How many [NAME DEBT FINANCING OPTION] did you use to finance the operation of the business during calendar year 2006? |
NUMBER USED
a. Personal credit cards for business-related purposes
b. Personal loans from a bank or other financial institution, such as a mortgage or home equity loan used for the business
c. Business or corporate credit cards issued in your name
d. Personal loans from any family or friends
e. Personal loans from any other individuals not associated with the management of the business
f. Any other sources? (SPECIFY)
f7b_bus_credcard_numused_2
f7b_pers_credcard_numused_2
f7b_pers_loan_bank_numused_2
f7b_pers_loan_fam_numused_2
f7b_pers_loan_other_numused_2
f7b_pers_other_numused_2 |
| F8a. IF ANSWERED “YES” TO F7a ITEMS a, c, ASK: As of December 31, 2006, what was the maximum credit line on the [NAME DEBT FINANCING OPTION]? |
DECEMBER 31, 2006 CREDIT LINE
DON’T KNOW / REFUSED
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES: Would you say it was . . .
$500 or less,
$501 to $1,000,
$1,001 to $3,000,
$3,001 to $5,000,
$5,001 to $10,000,
$10,001 to $25,000,
$25,001 to $100,000,
$100,001 to $1,000,000,
$1,000,001 or more?
DON’T KNOW / REFUSED
f8a_bus_credcard_line_2
f8a_bus_credcard_line_ranges_2
f8a_pers_credcard_line_2
f8a_pers_credcard_line_ranges_2 |
| F8b. IF ANSWERED “YES” TO F7a ITEMS a, c, ASK: As of December 31, 2006, what was the outstanding balance on the [NAME DEBT FINANCING OPTION]? |
DECEMBER 31, 2006 OUTSTANDING CREDIT CARD BALANCE
DON’T KNOW / REFUSED
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES: Would you say it was . . .
$500 or less,
$501 to $1,000,
$1,001 to $3,000,
$3,001 to $5,000,
$5,001 to $10,000,
$10,001 to $25,000,
$25,001 to $100,000,
$100,001 to $1,000,000,
$1,000,001 or more?
DON’T KNOW / REFUSED
f8b_bus_credcard_bal_2
f8b_bus_credcard_bal_ranges_2
f8b_pers_credcard_bal_2
f8b_pers_credcard_bal_ranges_2 |
IF F8b IS GREATER THAN F8a:
Perhaps I made a mistake. The amount I recorded as the balance outstanding is greater than the amount reported as the maximum credit limit. |
| |
| F8c. IF ANSWERED “YES” TO F7a ITEMS b, d, e, f, ASK: In calendar year 2006, how much was obtained from the [NAME DEBT FINANCING OPTION]? |
$ CALENDAR YEAR 2006 DEBT AMOUNT
DON’T KNOW / REFUSED
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES: Would you say it was . . .
$500 or less,
$501 to $1,000,
$1,001 to $3,000,
$3,001 to $5,000,
$5,001 to $10,000,
$10,001 to $25,000,
$25,001 to $100,000,
$100,001 to $1,000,000,
$1,000,001 or more?
DON’T KNOW / REFUSED
f8c_pers_loan_bank_amt_2
f8c_pers_loan_bank_amt_ranges_2
f8c_pers_loan_fam_amt_2
f8c_pers_loan_fam_amt_ranges_2
f8c_pers_loan_other_amt_2
f8c_pers_loan_other_amt_ranges_2
f8c_pers_other_amt_2
f8c_pers_other_amt_ranges_2 |
| F8d. As of December 31, 2006, what was the estimated amount of the [NAME DEBT FINANCING OPTION] owed by you on behalf of [NAME BUSINESS]? |
$ DEBT FINANCING VALUE AS OF DECEMBER 31, 2006
DON’T KNOW / REFUSED
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES: Would you say it was . . .
$500 or less,
$501 to $1,000,
$1,001 to $3,000,
$3,001 to $5,000,
$5,001 to $10,000,
$10,001 to $25,000,
$25,001 to $100,000,
$100,001 to $1,000,000,
$1,000,001 or more?
DON’T KNOW / REFUSED
f8d_pers_loan_bank_owed_2
f8d_pers_loan_bank_owed_ranges_2
f8d_pers_loan_fam_owed_2
f8d_pers_loan_fam_owed_ranges_2
f8d_pers_other_owed_2
f8d_pers_other_owed_ranges_2
f8d_pers_loan_other_owed_2
f8d_persloan_other_owed_range_2 |
IF MORE THAN ONE OWNER/OPERATOR AT C4, ASK F9a. OTHERWISE, GO TO F11a.
F9a. Here is the next debt category. I’m going to ask you about some different types of debt financing that other owners may have borrowed on behalf of [NAME BUSINESS]. This debt does not include amounts already reported in the previous section about your debt. For each, please tell me if other owners used this type at any time during calendar year 2006. Did other owners use [NAME DEBT FINANCING OPTION FROM LIST]? |
Yes/NO/DON’T KNOW / REFUSED
a. Personal credit cards for business-related purposes
b. Personal loans from a bank or other financial institution, such as a mortgage or home equity loan used for the business
c. Business or corporate credit cards issued in the other owner’s name(s)
d. Personal loans from any family or friends
e. Personal loans from any other individuals not associated with the management of the business
f. Any other sources? (SPECIFY)
f9a_bus_credcard_2
f9a_pers_credcard_2
f9a_pers_loan_bank_2
f9a_pers_loan_fam_2
f9a_pers_loan_other_2
f9a_pers_other_2
f9_pers_other_specify_2 |
| F9b. IN BELOW LIST, FOR EACH DEBT FINANCING OPTION BUSINESS REPORTED, ASK: How many [NAME DEBT FINANCING OPTION] did other owners use to finance the operation of the business during calendar year 2006? |
NUMBER USED
a. Personal credit cards for business-related purposes
b. Personal loans from a bank or other financial institution, such as a mortgage or home equity loan used for the business
c. Business or corporate credit cards issued in the other owner’s name(s)
d. Personal loans from any family or friends
e. Personal loans from any other individuals not associated with the management of the business
f. Any other sources? (SPECIFY)
f9b_bus_credcard_numused_2
f9b_pers_credcard_numused_2
f9b_pers_loan_bank_numused_2
f9b_pers_loan_fam_numused_2
f9b_pers_loan_other_numused_2
f9b_pers_other_numused_2 |
| F10a. IF ANSWERED “YES” TO F9a ITEMS a, c, ASK: As of December 31, 2006, what was the maximum credit line on the [NAME DEBT FINANCING OPTION] of (one of) the other owner(s)? |
$ DECEMBER 31, 2006 CREDIT LINE
DON’T KNOW / REFUSED
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES: Would you say it was . . .
$500 or less,
$501 to $1,000,
$1,001 to $3,000,
$3,001 to $5,000,
$5,001 to $10,000,
$10,001 to $25,000,
$25,001 to $100,000,
$100,001 to $1,000,000,
$1,000,001 or more?
DON’T KNOW / REFUSED
f10a_bus_credcard_line_2
f10a_bus_credcard_line_ranges_2
f10a_pers_credcard_line_2
f10a_pers_credcard_line_ranges_2 |
| F10b. IF ANSWERED “YES” TO F9a ITEMS a, c, ASK: As of December 31, 2006, what was the outstanding balance on the [NAME DEBT FINANCING OPTION] used by (one of) the other owner(s)? |
$ DECEMBER 31, 2006 OUTSTANDING CREDIT CARD BALANCE
DON’T KNOW / REFUSED
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES: Would you say it was . . .
$500 or less,
$501 to $1,000,
$1,001 to $3,000,
$3,001 to $5,000,
$5,001 to $10,000,
$10,001 to $25,000,
$25,001 to $100,000,
$100,001 to $1,000,000,
$1,000,001 or more?
DON’T KNOW / REFUSED
f10b_bus_credcard_bal_2
f10b_bus_credcard_bal_ranges_2
f10b_pers_credcard_bal_2
f10b_pers_credcard_bal_ranges_2
IF F10b IS GREATER THAN F10a:
Perhaps I made a mistake. The amount I recorded as the balance outstanding is greater than the amount reported as the maximum credit limit.
|
| F10c. IF ANSWERED “YES” TO F9a, ITEMS b, d, e, f, ASK: In calendar year 2006, how much was obtained from the [NAME DEBT FINANCING OPTION] other owners used? |
$ CALENDAR YEAR 2006 DEBT AMOUNT
DON’T KNOW / REFUSED
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES: Would you say it was . . .
$500 or less,
$501 to $1,000,
$1,001 to $3,000,
$3,001 to $5,000,
$5,001 to $10,000,
$10,001 to $25,000,
$25,001 to $100,000,
$100,001 to $1,000,000,
$1,000,001 or more?
DON’T KNOW / REFUSED
f10c_pers_loan_bank_amt_2
f10c_pers_loan_bank_amt_ranges_2
f10c_pers_loan_fam_amt_2
f10c_pers_loan_fam_amt_ranges_2
f10c_pers_loan_other_amt_2
f10c_pers_other_amt_2
f10c_pers_other_amt_ranges_2
f10c_persloan_other_amt_range_2 |
| F10d. As of December 31, 2006, what was the estimated amount of the [NAME DEBT FINANCING OPTION] owed by other owners on behalf of [NAME BUSINESS]? |
$ DEBT AMOUNT AS OF DECEMBER 31, 2006
$ CALENDAR YEAR 2006 DEBT AMOUNT
DON’T KNOW / REFUSED
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES: Would you say it was . . .
$500 or less,
$501 to $1,000,
$1,001 to $3,000,
$3,001 to $5,000,
$5,001 to $10,000,
$10,001 to $25,000,
$25,001 to $100,000,
$100,001 to $1,000,000,
$1,000,001 or more?
DON’T KNOW / REFUSED
f10d_pers_loan_bank_owed_2
f10d_persloan_bank_owed_range_2
f10d_pers_loan_fam_owed_2
f10d_pers_loan_fam_owed_ranges_2
f10d_pers_other_owed_2
f10d_pers_other_owed_ranges_2
f10d_pers_loan_other_owed_2
f10d_persloan_other_owed_range_2 |
| F11a. We are once again switching to another debt category. Now I’m going to ask you about some different types of debt financing that may have been obtained in the name of the business during calendar year 2006. This debt does not include amounts already reported in the previous sections about your debt or the debt of other owners. During calendar year 2006, did [NAME BUSINESS] use [NAME DEBT FINANCING OPTION FROM LIST]? |
Yes/NO/DON’T KNOW / REFUSED
a. Business or corporate credit cards issued in the name of the business
b. Business loans from a commercial bank
c. Business line of credit (READ IF NEEDED: a business line of credit is when a business has an agreement with a bank or other financial institution to borrow up to a certain amount of funds)
d. Business loans from a non-bank financial institution
e. Business loans from any family or friends of the owners
f. Business loans from another owner of the business or a partner
g. [IF HAVE EMPLOYEES AT C5] Loans to the business from employees that are not owners of the business
h. Loans from government agencies
i. Loans from other businesses
j. Business loans from any other individuals not associated with the management of the business
k. Any other sources? (SPECIFY)
f11_bus_other_specify_2
f11a_bus_cred_line_2
f11a_bus_credcard_2
f11a_bus_loans_bank_2
f11a_bus_loans_emp_2
f11a_bus_loans_fam_2
f11a_bus_loans_govt_2
f11a_bus_loans_nonbank_2
f11a_bus_loans_other_bus_2
f11a_bus_loans_other_ind_2
f11a_bus_loans_owner_2
f11a_bus_other_2 |
| F11b. IN BELOW LIST, FOR EACH DEBT FINANCING OPTION BUSINESS REPORTED, ASK: How many [NAME DEBT FINANCING OPTION] did the business use to finance the operation or the business during calendar year 2006? |
NUMBER USED
a. Business or corporate credit cards issued in the name of the business
b. Business loans from a commercial bank
c. Business line of credit (READ IF NEEDED: a business line of credit is when a business has an agreement with a bank or other financial institution to borrow up to a certain amount of funds)
d. Business loans from a non-bank financial institution
e. Business loans from any family or friends of the owners
f. Business loans from another owner of the business or a partner
g. [IF HAVE EMPLOYEES AT C5] Loans to the business from employees that are not owners of the business
h. Loans from government agencies
i. Loans from other businesses
j. Business loans from any other individuals not associated with the management of the business
k. Any other sources? (SPECIFY)
f11a_busloans_otherbus_numused_2
f11b_bus_cred_line_numused_2
f11b_bus_credcard_numused_2
f11b_bus_loans_bank_numused_2
f11b_bus_loans_emp_numused_2
f11b_bus_loans_fam_numused_2
f11b_bus_loans_govt_numused_2
f11b_bus_loans_nonbank_numused_2
f11b_bus_loans_owner_numused_2
f11b_bus_other_numused_2
f11b_busloans_otherind_numused_2 |
| F12a. IF ANSWERED “YES” TO F11a ITEMS a, c, ASK: As of December 31, 2006, what was the maximum credit line on the [NAME DEBT FINANCING OPTION]? |
$ DECEMBER 31, 2006 CREDIT LINE
DON’T KNOW / REFUSED
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES: Would you say it was . . .
$500 or less,
$501 to $1,000,
$1,001 to $3,000,
$3,001 to $5,000,
$5,001 to $10,000,
$10,001 to $25,000,
$25,001 to $100,000,
$100,001 to $1,000,000,
$1,000,001 or more?
DON’T KNOW / REFUSED
f12a_bus_cred_line_2
f12a_bus_cred_line_ranges_2
f12a_bus_credcard_line_2
f12a_bus_credcard_line_ranges_2 |
| F12b. IF ANSWERED “YES” TO F11a ITEMS a, c, ASK: As of December 31, 2006, what was the outstanding balance on the [NAME DEBT FINANCING OPTION]? |
$ DECEMBER 31, 2006 OUTSTANDING CREDIT BALANCE
DON’T KNOW / REFUSED
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES: Would you say it was . . .
$500 or less,
$501 to $1,000,
$1,001 to $3,000,
$3,001 to $5,000,
$5,001 to $10,000,
$10,001 to $25,000,
$25,001 to $100,000,
$100,001 to $1,000,000,
$1,000,001 or more?
DON’T KNOW / REFUSED
f12b_bus_cred_line_bal_2
f12b_bus_cred_line_bal_ranges_2
f12b_bus_credcard_bal_2
f12b_bus_credcard_bal_ranges_2 |
IF F12a IS GREATER THAN F12b:
Perhaps I made a mistake. The amount I recorded as the balance outstanding is greater than the amount reported as the maximum credit limit. |
| |
| F12c. IF ANSWERED “YES” TO F11a ITEMS b, d-k, ASK: In calendar year 2006, how much was the amount obtained from [NAME DEBT FINANCING OPTION] used by [NAME BUSINESS]? |
$ CALENDAR YEAR 2006 DEBT AMOUNT
DON’T KNOW / REFUSED
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES: Would you say it was . . .
$500 or less,
$501 to $1,000,
$1,001 to $3,000,
$3,001 to $5,000,
$5,001 to $10,000,
$10,001 to $25,000,
$25,001 to $100,000,
$100,001 to $1,000,000,
$1,000,001 or more?
DON’T KNOW / REFUSED
f12c_bus_loans_bank_amt_2
f12c_bus_loans_bank_amt_ranges_2
f12c_bus_loans_bus_amt_2
f12c_bus_loans_bus_amt_ranges_2
f12c_bus_loans_emp_amt_2
f12c_bus_loans_emp_amt_ranges_2
f12c_bus_loans_fam_amt_2
f12c_bus_loans_fam_amt_ranges_2
f12c_bus_loans_govt_amt_2
f12c_bus_loans_govt_amt_ranges_2
f12c_bus_loans_nonbank_amt_2
f12c_bus_loans_other_ind_amt_2
f12c_bus_loans_owner_amt_2
f12c_bus_other_amt_2
f12c_bus_other_amt_ranges_2
f12c_busloans_nonbnk_amt_range_2
f12c_busloans_other_ind_range_2
f12c_busloans_owner_amt_range_2 |
| F12d. As of December 31, 2006, what was the estimated amount of the [NAME DEBT FINANCING OPTION] owed by [NAME BUSINESS]? |
$ DEBT AMOUNT AS OF DECEMBER 31, 2006
DON’T KNOW / REFUSED
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES: Would you say it was . . .
$500 or less,
$501 to $1,000,
$1,001 to $3,000,
$3,001 to $5,000,
$5,001 to $10,000,
$10,001 to $25,000,
$25,001 to $100,000,
$100,001 to $1,000,000,
$1,000,001 or more?
DON’T KNOW / REFUSED
f12d_bus_loans_bank_owed_2
f12d_bus_loans_bus_owed_2
f12d_bus_loans_bus_owed_ranges_2
f12d_bus_loans_emp_owed_2
f12d_bus_loans_emp_owed_ranges_2
f12d_bus_loans_fam_owed_2
f12d_bus_loans_fam_owed_ranges_2
f12d_bus_loans_govt_owed_2
f12d_bus_loans_nonbank_owed_2
f12d_bus_loans_other_ind_owed_2
f12d_bus_loans_owner_owed_2
f12d_bus_other_owed_2
f12d_bus_other_owed_ranges_2
f12d_busloan_nonbnk_owed_range_2
f12d_busloan_othind_owed_range_2
f12d_busloans_bank_owed_range_2
f12d_busloans_govt_owed_range_2
f12d_busloans_owner_owed_range_2 |
| F13. Trade financing is where a business has an arrangement with a supplier to make purchases on account. In calendar year 2006, did [NAME BUSINESS] make any purchases through trade financing? |
YES
NO / DON’T KNOW / REFUSED GO TO F15
f13_trade_fin_2 |
| F14. IF YES: In calendar year 2006, what was the amount of purchases made through trade financing? |
$ CALENDAR YEAR 2006 AMOUNT OF TRADE PURCHASES
DON’T KNOW / REFUSED
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES: Would you say it was . . .
$500 or less,
$501 to $1,000,
$1,001 to $3,000,
$3,001 to $5,000,
$5,001 to $10,000,
$10,001 to $25,000,
$25,001 to $100,000,
$100,001 to $1,000,000,
$1,000,001 or more?
DON’T KNOW / REFUSED
f14a_trade_fin_amt_2
f14a_trade_fin_amt_ranges_2 |
| F15. In calendar year 2006, did [NAME BUSINESS] receive any revenue (money), from the sales of goods, services, or intellectual property? [IF SOLE PROPRIETORSHIP, ADD: This would be gross receipts reported on a Schedule C or C-EZ with your personal income tax return.] |
YES
NO / DON’T KNOW / REFUSED GO TO F17
f15_revenue_2006_2 |
| F16. What was [NAME BUSINESS]’s total revenue for calendar year 2006? [IF SOLE PROPRIETORSHIP, ADD: This would be gross receipts reported on a Schedule C or C-EZ with your personal income tax return.] |
$ TOTAL REVENUE 2006
DON’T KNOW / REFUSED
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES: Would you say it was . . .
$500 or less,
$501 to $1,000,
$1,001 to $3,000,
$3,001 to $5,000,
$5,001 to $10,000,
$10,001 to $25,000,
$25,001 to $100,000,
$100,001 to $1,000,000,
$1,000,001 or more?
DON’T KNOW / REFUSED
f16a_rev_2006_amt_2
f16a_rev_2006_amt_ranges_2 |
| F16b. Was this an increase, a decrease, or no change in the amount of revenue for [NAME BUSINESS] in 2006 compared to 2005? |
INCREASE
DECREASE
NO CHANGE GO TO F17
DON’T KNOW / REFUSED
f16b_rev_2006_change_2 |
| F16c. And what was the percentage change in revenue in 2006 compared 2005? Your best estimate is fine. |
% CHANGE IN REVENUE
DON’T KNOW /REFUSED
f16c_perc_change_2 |
| F17. Now I’m going to ask about the expenses the business paid. Expenses are the costs paid for the operation of the business, including wages, salaries, interest on loans, capital leases, materials, etc. How much, if any, did [NAME BUSINESS] pay in expenses during calendar year 2006? |
$ TOTAL EXPENSES IN CALENDAR YEAR 2006
DON’T KNOW / REFUSED
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES: Would you say it was . . .
$500 or less,
$501 to $1,000,
$1,001 to $3,000,
$3,001 to $5,000,
$5,001 to $10,000,
$10,001 to $25,000,
$25,001 to $100,000,
$100,001 to $1,000,000,
$1,000,001 or more?
DON’T KNOW / REFUSED
f17a_total_exp_2006_amt_2
f17a_total_exp_2006_amt_ranges_2 |
| F17b. Was this an increase, a decrease, or no change in total expenses for [NAME BUSINESS] in 2006 compared to 2005? |
INCREASE
DECREASE
NO CHANGE GO TO F18
DON’T KNOW / REFUSED
f17b_total_exp_2006_change_2 |
| F17c. And what was the percentage change in total expenses in 2006 compared to 2005? Your best estimate is fine. |
% CHANGE IN EXPENSES
DON’T KNOW /REFUSED
f17c_perc_change_2 |
F18. IF BUSINESS REPORTED “0” EMPLOYEES AT C5, GO TO F19.
How much, if any, did [NAME BUSINESS] pay in wages, salaries, and benefits to full and part-time employees in calendar year 2006? Please do not include wages, salaries, and benefits to contract workers who work for the business but are not on the business’ official payroll. |
$ TOTAL PAYROLL EXPENSES IN CALENDAR YEAR 2006
DON’T KNOW / REFUSED
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES: Would you say it was . . .
$500 or less,
$501 to $1,000,
$1,001 to $3,000,
$3,001 to $5,000,
$5,001 to $10,000,
$10,001 to $25,000,
$25,001 to $100,000,
$100,001 to $1,000,000,
$1,000,001 or more?
DON’T KNOW / REFUSED
f18a_wage_exp_2006_amt_2
f18b_wage_exp_2006_amt_ranges_2 |
| F19. Did [NAME BUSINESS] spend any money on research and development of new products and services during calendar year 2006? |
YES
NO
DON’T KNOW / REFUSED
f19_res_dev_2 |
| F20. Did [NAME BUSINESS] spend any money on the purchase of new or used machinery or equipment during calendar year 2006? |
YES
NO
DON’T KNOW / REFUSED
f20_mach_2 |
| F21. Did [NAME BUSINESS] spend any money on rental or lease payments for buildings or other structures during calendar year 2006? |
YES
NO
DON’T KNOW / REFUSED
f21_land_rent_2 |
| F22. Did [NAME BUSINESS] spend any money on rental or lease payments for machinery or equipment during calendar year 2006? |
YES
NO
DON’T KNOW / REFUSED
f22_mach_rent_2 |
| F23. Did [NAME BUSINESS] have a profit or loss in calendar year 2006? |
PROFIT GO TO F24
LOSS GO TO F26
DON’T KNOW / REFUSED
f23_profit_or_loss_2
IF F23 = 01 AND F15 = 00:
I may have made a mistake. Earlier in the interview, I recorded that [NAME BUSINESS] did not have any revenue in calendar year 2006. Is there an error?
|
F24. Profit is the business’ income after all expenses and taxes have been deducted.
What was [NAME BUSINESS]’s total profit for calendar year 2006
|
$ TOTAL PROFIT IN CALENDAR YEAR 2006
DON’T KNOW / REFUSED
f24_profit_amt_2 |
| F25. IF DON’T KNOW OR REFUSED, PROBE WITH RANGES: Would you say it was . . . |
$500 or less,
$501 to $1,000,
$1,001 to $3,000,
$3,001 to $5,000,
$5,001 to $10,000,
$10,001 to $25,000,
$25,001 to $100,000,
$100,001 to $1,000,000,
$1,000,001 or more?
DON’T KNOW / REFUSED
f25_profit_amt_ranges_2 |
F26. Loss is the business’ negative income after all expenses and taxes have been deducted. What was [NAME BUSINESS]’s total loss for calendar year 2006
|
$ TOTAL LOSS IN CALENDAR YEAR 2006
DON’T KNOW / REFUSED
f26_loss_amt_2 |
| F27. IF DON’T KNOW OR REFUSED, PROBE WITH RANGES: Would you say it was . . . |
$500 or less,
$501 to $1,000,
$1,001 to $3,000,
$3,001 to $5,000,
$5,001 to $10,000,
$10,001 to $25,000,
$25,001 to $100,000,
$100,001 to $1,000,000,
$1,000,001 or more?
DON’T KNOW / REFUSED
f27_loss_amt_ranges_2 |
| F28. Assets are what the business owns. As of December 31, 2006, did [NAME BUSINESS]’s assets include [NAME ASSET FROM LIST]? |
a. Cash on hand in checking, savings, money market accounts, certificates of deposit and other time deposits
b. Accounts receivable
c. Product inventory
d. Equipment or machinery
e. Land, buildings, and other structures
f. Vehicles
g. Any other business owned property (SPECIFY)
h. Any other assets? (SPECIFY)
f28a_asset_cash_2
f28b_asset_acct_rec_2
f28c_asset_inv_2
f28d_asset_equip_2
f28e_asset_landbuild_2
f28f_asset_veh_2
f28g_other_bus_prop_2
f28h_other_assets_2
f28_other_bus_prop_specify_2
f28_other_specify_2 |
F29. FOR EACH ASSET BUSINESS REPORTED, ASK:
As of December 31, 2006, what was the estimated value of the [NAME OF ASSET] owned by [NAME BUSINESS]? |
$ ASSET VALUE AS OF DECEMBER 31, 2006
DON’T KNOW / REFUSED
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES: Would you say it was . . .
$500 or less,
$501 to $1,000,
$1,001 to $3,000,
$3,001 to $5,000,
$5,001 to $10,000,
$10,001 to $25,000,
$25,001 to $100,000,
$100,001 to $1,000,000,
$1,000,001 or more?
DON’T KNOW / REFUSED
f29_assetval_acctrec_2
f29_assetval_acctrec_ranges_2
f29_assetval_cash_2
f29_assetval_cash_ranges_2
f29_assetval_equip_2
f29_assetval_equip_ranges_2
f29_assetval_inv_2
f29_assetval_inv_ranges_2
f29_assetval_landbuild_2
f29_assetval_landbuild_ranges_2
f29_assetval_othbusprop_2
f29_assetval_othbusprop_ranges_2
f29_assetval_other_2
f29_assetval_other_ranges_2
f29_assetval_veh_2
f29_assetval_veh_ranges_2 |
| F30. Liabilities are what the business owes. Other than the loans and the financial debt we’ve already talked about, did [NAME BUSINESS]’s liabilities as of December 31, 2006 include [NAME LIABILITY FROM LIST]? |
YES
NO
DON’T KNOW/REFUSED
a. Accounts Payable
b. Pension and post retirement benefits
c. Any other liabilities? (SPECIFY)
f30a_liab_acctpay_2
f30b_liab_pension_2
f30c_liab_other_2
f30_other_specify_2 |
| F31. FOR EACH LIABILITY BUSINESS HAS, ASK: As of December 31, 2006, what was the estimated value of [NAME BUSINESS]’s [NAME OF LIABILITY]? |
$ LIABILITY VALUE AS OF DECEMBER 31, 2006
DON’T KNOW / REFUSED
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES: Would you say it was . . .
$500 or less,
$501 to $1,000,
$1,001 to $3,000,
$3,001 to $5,000,
$5,001 to $10,000,
$10,001 to $25,000,
$25,001 to $100,000,
$100,001 to $1,000,000,
$1,000,001 or more?
DON’T KNOW / REFUSED
f31_value_acctpay_2
f31_value_acctpay_ranges_2
f31_value_other_2
f31_value_other_ranges_2
f31_value_pension_2
f31_value_pension_ranges_2 |
| |
 G. Work Behaviors and Demographics of Owner(s)
The last section contains questions for classification purposes only.
C4 LISTING OF OWNER/OPERATORS SHOULD BE ASKED THIS SERIES IN THE ORDER THEY APPEAR IN C4
NO QUESTIONS WILL BE ASKED ABOUT OWNER/OPERATORS WHO HAVE LEFT THE BUSINESS.
FOR ALL FIRST FOLLOW-UP OWNER/OPERATORS IN C4, ASK BLOCK G1
FOR ALL NEW OWNER/OPERATORS, ASK BLOCK G2
BLOCK G1— |
| |
| G1a. (Are/Is) (you/[OWNER B-J]) also a paid employee at [NAME BUSINESS]? |
YES
NO
DON’T KNOW / REFUSED
g1a_emp_owner_01_2
g1a_emp_owner_02_2
g1a_emp_owner_03_2
g1a_emp_owner_04_2
g1a_emp_owner_05_2
g1a_emp_owner_06_2
g1a_emp_owner_07_2
g1a_emp_owner_08_2
g1a_emp_owner_09_2
g1a_emp_owner_10_2 |
| G1b. During the time [NAME BUSINESS] was in business during 2006, how many hours in an average week did (you/[OWNER B-J]) spend working at [NAME BUSINESS]? |
HOURS WORKED IN AVERAGE WEEK
DON’T KNOW / REFUSED
IF DON’T KNOW OR REFUSED PROBE: Would you say it was . . .
Less than 20 hours,
20 hours to 35 hours,
36 hours to 45 hours,
46 hours to 55 hours,
56 hours to 65 hours,
66 hours or more?
DON’T KNOW / REFUSED
g1b1_hours_owner_01_2
g1b1_hours_owner_02_2
g1b1_hours_owner_03_2
g1b1_hours_owner_04_2
g1b1_hours_owner_05_2
g1b1_hours_owner_06_2
g1b1_hours_owner_07_2
g1b1_hours_owner_08_2
g1b1_hours_owner_09_2
g1b1_hours_owner_10_2
g1b2_hours_ranges_owner_01_2
g1b2_hours_ranges_owner_02_2
g1b2_hours_ranges_owner_03_2
g1b2_hours_ranges_owner_04_2
g1b2_hours_ranges_owner_05_2
g1b2_hours_ranges_owner_06_2
g1b2_hours_ranges_owner_07_2
g1b2_hours_ranges_owner_08_2
g1b2_hours_ranges_owner_09_2
g1b2_hours_ranges_owner_10_2 |
FIRST FOLLOW-UP OWNERS/OPERATORS: ANY DEMOGRAPHIC QUESTION G1d-G10a NOT ANSWERED IN FIRST FOLLOW-UP WILL BE ASKED AGAIN.
ENDBLOCK G1—FOR ALL FIRST FOLLOW-UP OWNERS.
BLOCK bSectionG2—for all NEW OWNERS |
| |
| G1a. (Are/Is) (you/[OWNER B-J]) also a paid employee at [NAME BUSINESS]? |
YES
NO
DON’T KNOW / REFUSED
g1a_emp_owner_01_2
g1a_emp_owner_02_2
g1a_emp_owner_03_2
g1a_emp_owner_04_2
g1a_emp_owner_05_2
g1a_emp_owner_06_2
g1a_emp_owner_07_2
g1a_emp_owner_08_2
g1a_emp_owner_09_2
g1a_emp_owner_10_2 |
| G1b. During the time [NAME BUSINESS] was in business during 2006, how many hours in an average week did (you/[OWNER B-J]) spend working at [NAME BUSINESS]? |
HOURS WORKED IN AVERAGE WEEK
DON’T KNOW / REFUSED
g1b1_hours_owner_01_2
g1b1_hours_owner_02_2
g1b1_hours_owner_03_2
g1b1_hours_owner_04_2
g1b1_hours_owner_05_2
g1b1_hours_owner_06_2
g1b1_hours_owner_07_2
g1b1_hours_owner_08_2
g1b1_hours_owner_09_2
g1b1_hours_owner_10_2 |
| G1b1. IF DON’T KNOW OR REFUSED, PROBE: Would you say it was . . . |
Less than 20 hours,
20 hours to 35 hours,
36 hours to 45 hours,
46 hours to 55 hours,
56 hours to 65 hours,
66 hours or more?
DON’T KNOW / REFUSED
g1b2_hours_ranges_owner_01_2
g1b2_hours_ranges_owner_02_2
g1b2_hours_ranges_owner_03_2
g1b2_hours_ranges_owner_04_2
g1b2_hours_ranges_owner_05_2
g1b2_hours_ranges_owner_06_2
g1b2_hours_ranges_owner_07_2
g1b2_hours_ranges_owner_08_2
g1b2_hours_ranges_owner_09_2
g1b2_hours_ranges_owner_10_2 |
| G2. How many years of work experience (have/has) (you/[OWNER B-J]) had in this industry—the one in which [NAME BUSINESS] competes? |
YEARS
DON’T KNOW / REFUSED
g2_work_exp_owner_01_2
g2_work_exp_owner_02_2
g2_work_exp_owner_03_2
g2_work_exp_owner_04_2
g2_work_exp_owner_05_2
g2_work_exp_owner_06_2
g2_work_exp_owner_07_2
g2_work_exp_owner_08_2
g2_work_exp_owner_09_2
g2_work_exp_owner_10_2 |
| G3a. How many other new businesses (have/has) (you/[OWNER B-J]) started besides [NAME BUSINESS]? |
NUMBER OF BUSINESSES (ENTER “0” FOR NONE)
DON’T KNOW / REFUSED
g3a_oth_bus_owner_01_2
g3a_oth_bus_owner_02_2
g3a_oth_bus_owner_03_2
g3a_oth_bus_owner_04_2
g3a_oth_bus_owner_05_2
g3a_oth_bus_owner_06_2
g3a_oth_bus_owner_07_2
g3a_oth_bus_owner_08_2
g3a_oth_bus_owner_09_2
g3a_oth_bus_owner_10_2 |
| IF ZERO NEW BUSINESSES AT G3a, GO TO G4. |
| |
| G3b. (Was this/Were any of the) business(es) in the same industry as [NAME BUSINESS]? |
YES
NO
DON’T KNOW / REFUSED
g3b_bus_same_ind_owner_01_2
g3b_bus_same_ind_owner_02_2
g3b_bus_same_ind_owner_03_2
g3b_bus_same_ind_owner_04_2
g3b_bus_same_ind_owner_05_2
g3b_bus_same_ind_owner_06_2
g3b_bus_same_ind_owner_07_2
g3b_bus_same_ind_owner_08_2
g3b_bus_same_ind_owner_09_2
g3b_bus_same_ind_owner_10_2 |
| G4. How old will (you/[OWNER B-J]) be on (your/his/her) next birthday? |
OWNER A
DON’T KNOW / REFUSED
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES: Would you say . . .
18-24
25-34
35-44
45-54
55-64
65-74
75 or older?
DON’T KNOW / REFUSED
g4_age_owner_01_2
g4_age_owner_02_2
g4_age_owner_03_2
g4_age_owner_04_2
g4_age_owner_05_2
g4_age_owner_06_2
g4_age_owner_07_2
g4_age_owner_08_2
g4_age_owner_09_2
g4_age_owner_10_2
g4a_age_ranges_owner_01_2
g4a_age_ranges_owner_02_2
g4a_age_ranges_owner_03_2
g4a_age_ranges_owner_04_2
g4a_age_ranges_owner_05_2
g4a_age_ranges_owner_06_2
g4a_age_ranges_owner_07_2
g4a_age_ranges_owner_08_2
g4a_age_ranges_owner_09_2
g4a_age_ranges_owner_10_2 |
If G4 is less than G2
CATI hard edit with wording as follows:
Perhaps I made a mistake in recording your answer. (OWNER B-J/Your) age is less than (OWNER B-J) years of experience.
Now I have a few questions about race and ethnicity.
G5. (Are/Is) (you/[OWNER B-J]) of Hispanic or Latino origin? |
YES
NO
DON’T KNOW / REFUSED
g5_hisp_origin_owner_01_2
g5_hisp_origin_owner_02_2
g5_hisp_origin_owner_03_2
g5_hisp_origin_owner_04_2
g5_hisp_origin_owner_05_2
g5_hisp_origin_owner_06_2
g5_hisp_origin_owner_07_2
g5_hisp_origin_owner_08_2
g5_hisp_origin_owner_09_2
g5_hisp_origin_owner_10_2 |
| G6. I am going to read a list of race categories. Please choose one or more that best describes (your/[OWNER B-J]’s) race. Are (you [OWNER B-J]) American Indian or Alaska Native, Native Hawaiian or other Pacific Islander, Asian, Black or African American, or White? |
AMERICAN INDIAN OR ALASKA NATIVE
NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER
ASIAN
BLACK OR AFRICAN AMERICAN
WHITE
OTHER (SPECIFY)
DON’T KNOW / REFUSED
g6_race_amind_owner_01_2
g6_race_amind_owner_02_2
g6_race_amind_owner_03_2
g6_race_amind_owner_04_2
g6_race_amind_owner_05_2
g6_race_amind_owner_06_2
g6_race_amind_owner_07_2
g6_race_amind_owner_08_2
g6_race_amind_owner_09_2
g6_race_amind_owner_10_2
g6_race_asian_owner_01_2
g6_race_asian_owner_02_2
g6_race_asian_owner_03_2
g6_race_asian_owner_04_2
g6_race_asian_owner_05_2
g6_race_asian_owner_06_2
g6_race_asian_owner_07_2
g6_race_asian_owner_08_2
g6_race_asian_owner_09_2
g6_race_asian_owner_10_2
g6_race_black_owner_01_2
g6_race_black_owner_02_2
g6_race_black_owner_03_2
g6_race_black_owner_04_2
g6_race_black_owner_05_2
g6_race_black_owner_06_2
g6_race_black_owner_07_2
g6_race_black_owner_08_2
g6_race_black_owner_09_2
g6_race_black_owner_10_2
g6_race_nathaw_owner_01_2
g6_race_nathaw_owner_02_2
g6_race_nathaw_owner_03_2
g6_race_nathaw_owner_04_2
g6_race_nathaw_owner_05_2
g6_race_nathaw_owner_06_2
g6_race_nathaw_owner_07_2
g6_race_nathaw_owner_08_2
g6_race_nathaw_owner_09_2
g6_race_nathaw_owner_10_2
g6_race_other_owner_01_2
g6_race_other_owner_02_2
g6_race_other_owner_03_2
g6_race_other_owner_04_2
g6_race_other_owner_05_2
g6_race_other_owner_06_2
g6_race_other_owner_07_2
g6_race_other_owner_08_2
g6_race_other_owner_09_2
g6_race_other_owner_10_2
g6_race_white_owner_01_2
g6_race_white_owner_02_2
g6_race_white_owner_03_2
g6_race_white_owner_04_2
g6_race_white_owner_05_2
g6_race_white_owner_06_2
g6_race_white_owner_07_2
g6_race_white_owner_08_2
g6_race_white_owner_09_2
g6_race_white_owner_10_2
g6_otherspecify_owner_01_2
g6_otherspecify_owner_02_2
g6_otherspecify_owner_03_2
g6_otherspecify_owner_04_2
g6_otherspecify_owner_05_2
g6_otherspecify_owner_06_2
g6_otherspecify_owner_07_2
g6_otherspecify_owner_08_2
g6_otherspecify_owner_09_2
g6_otherspecify_owner_10_2 |
| G7. (Were/Was) (you/[OWNER B-J]) born in the United States? |
YES GO TO G9
NO / DON’T KNOW / REFUSED
g7_native_born_owner_01_2
g7_native_born_owner_02_2
g7_native_born_owner_03_2
g7_native_born_owner_04_2
g7_native_born_owner_05_2
g7_native_born_owner_06_2
g7_native_born_owner_07_2
g7_native_born_owner_08_2
g7_native_born_owner_09_2
g7_native_born_owner_10_2 |
| G8. (Are/Is) (you/[OWNER B-J]) a U.S. citizen? |
YES
NO / DON’T KNOW / REFUSED
g8_us_cit_owner_01_2
g8_us_cit_owner_02_2
g8_us_cit_owner_03_2
g8_us_cit_owner_04_2
g8_us_cit_owner_05_2
g8_us_cit_owner_06_2
g8_us_cit_owner_07_2
g8_us_cit_owner_08_2
g8_us_cit_owner_09_2
g8_us_cit_owner_10_2 |
| G9. What is the highest level of education (you/[OWNER B-J]) (have/has) completed so far? Would you say . . . |
Less than 9th grade
Some high school, but no diploma
High school graduate (diploma or equivalent diploma [GED]),
Technical, trade or vocational degree
Some college, but no degree
Associate’s degree
Bachelor’s degree
Some graduate school but no degree
Master’s degree
Professional school or doctorate?
DON’T KNOW / REFUSED
g9_education_owner_01_2
g9_education_owner_02_2
g9_education_owner_03_2
g9_education_owner_04_2
g9_education_owner_05_2
g9_education_owner_06_2
g9_education_owner_07_2
g9_education_owner_08_2
g9_education_owner_09_2
g9_education_owner_10_2 |
BY OBSERVATION:
G10. (Are/Is) (you/[OWNER B-J]) male or female? |
MALE
FEMALE
DON’T KNOW / REFUSED
g10_gender_owner_01_2
g10_gender_owner_02_2
g10_gender_owner_03_2
g10_gender_owner_04_2
g10_gender_owner_05_2
g10_gender_owner_06_2
g10_gender_owner_07_2
g10_gender_owner_08_2
g10_gender_owner_09_2
g10_gender_owner_10_2 |
ENDBLOCK bSectionG2
SECTION G ARRAYED UP TO 10 TIMES, ONCE FOR EACH NEW OWNER. |
| |
G11. IF EMAIL ADDRESS COLLECTED AT BASELINE OR FIRST FOLLOW-UP:
Can we confirm your email address? |
INTERVIEWER: READ EMAIL ADDRESS AND CORRECT AS NECESSARY.
IF EMAIL ADDRESS FIELD BLANK FROM BASELINE AND FIRST FOLLOW-UP:
Can you give us an email address where you can be reached?
EMAIL: @
DON’T KNOW / REFUSED |
IF WEBSITE ADDRESS COLLECTED AT BASELINE OR FIRST FOLLOW-UP:
May we confirm your web site address as: |
Web Address: .
INTERVIEWER: CORRECT AS NECESSARY GO TO G14
IF WEBSITE ADDRESS BLANK FROM BASELINE AND FIRST FOLLOW-UP:
Does [NAME BUSINESS] have its own website?
YES
NO
DON’T KNOW / REFUSED |
| G13. Can you give me the web address? |
WEB ADDRESS: .
DON’T KNOW / REFUSED |
| G14. Is the business likely to move to another location in the next 12 months? |
YES
NO
DON’T KNOW / REFUSED |
| G15. What city and state is the business likely to move to? |
CITY:
STATE:
DON’T KNOW / REFUSED |
G16. IF CONTACT INFORMATION COLLECTED AT BASELINE OR FIRST FOLLOW-UP:
Here is the information we have for a contact person. This information will be held in the strictest confidence, and will only be used if we cannot contact you or someone else associated with the business at the current business phone number or address. |
INTERVIEWER: PLEASE ASK FOR ANY INFORMATION THAT IS NOT FILLED IN.
NAME:
ADDRESS:
CITY:
STATE:
PHONE:
EMAIL: @
DON’T KNOW / REFUSED
IF CONTACT INFORMATION IS BLANK FROM BASELINE AND FIRST FOLLOW UP:
In case we are unable to contact you, can you provide a name and contact information for a person besides yourself who would know how to reach you or someone else associated with [NAME BUSINESS]? All information collected will be held in the strictest confidence, and will only be used if we cannot contact you or someone else associated with the business at the current business phone number or address.
NAME:
ADDRESS:
CITY:
STATE:
PHONE:
EMAIL: @
DON’T KNOW / REFUSED |
| THANK AND TERMINATE |
 H. Computed Group Variables
 The Third Follow-Up
 A. Introduction
| INTRO: Hello, my name is ______________. I’m calling on behalf of the Kauffman Foundation of Kansas City. |
| |
| A1. May I speak with ([CEO/OWNER]/the owner or CEO of [NAME BUSINESS])? |
OWNER NAME = Second Follow-Up Respondent for Section A.
OWNER/CEO—PROCEED WITH INTERVIEW
OWNER/CEO—BAD TIME/CALL BACK GO TO A2a
OWNER/CEO NOT AVAILABLE GO TO Inform
OWNER/CEO NO LONGER WITH BUSINESS GO TO A1a
[then A4web if A1a=1]
BUSINESS NO LONGER IN OPERATION GO TO A10
DON’T KNOW /REFUSED |
A1a. Your business has been participating in the Kauffman Firm Survey. Last year we asked you some questions about [NAME BUSINESS]’s operations in 2006. Now we’d like to ask about calendar year 2007.
We'd like to confirm that the name of the business is [NAME BUSINESS] and that [NAME BUSINESS] is still operating. |
|
[NAME BUSINESS] IS THE CURRENT NAME AND [NAME BUSINESS] IS STILL OPERATING GO TO A1b
THE BUSINESS NAME IS INCORRECT GO TO A2Web
[NAME BUSINESS] IS OUT OF BUSINESS GO TO A10
DON’T KNOW / REFUSED
|
| A1b. We’d like to confirm that you are [OWNER NAME] and you are you are still an owner of [NAME BUSINESS]? |
[OWNER NAME] IS THE RESPONDENT AND IS STILL AN OWNER OF [NAME BUSINESS]
[OWNER NAME] IS THE RESPONDENT AND IS STILL AN OWNER OF [NAME BUSINESS], BUT
CORRECT [OWNER NAME]’s NAME GO TO A4aWeb
RESPONDENT IS NOT [OWNER NAME] GO TO A4Webz
THE RESPONDENT [OWNER NAME] IS NO LONGER AN OWNER OF [NAME BUSINESS] GO TO A5a Box |
| A1c. We’d like to confirm that the title of your position is [TITLE]? Is that correct? |
YES GO TO A5
NO
DON’T KNOW GO TO A5
REFUSED GO TO A5 |
| A1d. What is your job title? |
| INTERVIEWER: ENTER JOB TITLE. Update Title GO TO A5 |
A2a. I’m sorry. When would be a better time to reach (you/[OWNER])?
INTERVIEWER: ENTER CALLBACK DATE AND TIME.
READ: Is this the best number to reach you?
INTERVIEWER: UPDATE CONTACT INFORMATION AS NEEDED.
Thank you very much. Good-bye.
THANK AND TERMINATE |
| |
|
A2Web. What is the correct business name?
INTERVIEWER: TYPE IN BUSINESS NAME.
A3Web. Is this a corrected spelling, a name change but the same business, or a different business?
SPELLING CORRECTION
NAME CHANGE/SAME COMPANY
DIFFERENT COMPANY
A3Webz. We are trying to find out what happened to [NAME BUSINESS]. Is [NAME BUSINESS] still in operation?
YES GO TO A1b
NO GO TO A10
A4Webz Is [OWNER NAME] still an owner and actively involved in running [NAME BUSINESS]?
IF NEEDED: By actively involved, we mean providing regular assistance or advice with day-to-day operations of the business rather than providing only money or occasional operating assistance.
YES
NO GO TO A5a Box
DON’T KNOW
REFUSED
A4Webz1 Would [OWNER NAME] be available to do the study at another time?
YES
NO
DON’T KNOW
REFUSED
A4aWeb What is the correct spelling of your name?
NAME:
|
| |
| A5. Are you still actively involved in running [NAME BUSINESS]? By actively involved in running the business, we mean providing regular assistance or advice with day-to-day operations of the business rather than providing only money or occasional operating assistance. |
YES GO TO A4
NO
DON’T KNOW GO TO A4
REFUSED GO TO A4
a5_actively_involved_3 |
A5a BOX:
IF MORE THAN ONE OWNER-OPERATOR-FOUNDER FROM SECOND FOLLOW-UP, ASK A5a. ELSE, ASK A4Web.
A5a. During the last interview with your business, we recorded other owners of [NAME BUSINESS]. Please tell me the person who is an owner of the business, is actively involved in running [NAME BUSINESS], and will answer this study.
By actively involved in running the business, we mean providing regular assistance or advice with day-to-day operations of the business rather than providing only money or occasional operating assistance.
READ THE OWNER NAMES BELOW. SELECT ONLY ONE.
NEW OWNER-OPERATOR WILL ANSWER GO TO A5aweb1
[NAME OWNER] GO TO A7Title
NON-OWNER WILL ANSWER GO TO A5aweb1
INTERVIEWER: CODE 11 ONLY WITH SUPERVISOR PERMISSION AND WRITE NOTE DOCUMENTING CIRCUMSTANCES |
| A4Web Who is currently an (OWNER/CEO) of [NAME BUSINESS]? |
| NAME: |
| A4Webz2 Are you (OWNER/CEO)? |
YES
NO GO TO Inform |
| A5new. And are you actively involved in running [NAME BUSINESS]? By actively involved in running the business, we mean providing regular assistance or advice with day-to-day operations of the business rather than providing only money or occasional operating assistance. |
YES GO TO A4new
NO
a5new_actively_involved_3 |
A7. Is there another owner of [NAME BUSINESS] who is actively involved in running [NAME BUSINESS], and can answer questions about the business?
PROBE: By actively involved in running the business, we mean providing regular assistance or advice with day-to-day operations of the business rather than providing only money or occasional operating assistance. |
YES
NO GO TO Stop5 |
A5aWeb1 Who is another owner of [NAME BUSINESS] who is actively involved in running [NAME BUSINESS], and can answer questions about the business?
|
ENTER FIRST NAME ______________________________________
ENTER LAST NAME ______________________________________
ENTER JOB TITLE ______________________________________ |
| A4Webz2 Are you (OWNER/CEO)? |
YES GO TO A4new
NO |
Inform. Do you know a good time and date I can call to contact (OWNER/CEO)?
INTERVIEWER: ENTER CALLBACK DATE AND TIME.
THANK AND TERMINATE
Stop5. Thank you for your time. |
| A7Title. What is the title of [OWNER NAME]? |
| |
| A4Webz2 Are you (OWNER NAME)? |
YES GO TO A4new
NO GO TO Inform |
A4. You participated last year in the Kauffman Firm Survey. At that time, we asked some questions about [NAME BUSINESS] operations in 2006. Now we’d like to ask about the year 2007. Again, your answers will be completely confidential, and you will once again receive a $50 payment as a token of our appreciation.
GO TO A8 |
| A4new. Your business participated last year in the Kauffman Firm Study. At that time, we asked some questions about [NAME BUSINESS]’s operation in 2006. Now we’d like to ask about the year 2007. Again, your answers will be kept confidential, and you will receive a $50 payment as a token of our appreciation. |
A8. I’d like to confirm your business’ mailing address. Is [NAME BUSINESS]’s mailing address (ADDRESS, CITY, STATE, ZIP)?
WEB: Our records indicate that the mailing address for [NAME BUSINESS] is (ADDRESS, CITY, STATE, ZIP). Is this correct? |
YES GO TO C1z
NO GO TO A9
DON’T KNOW /REFUSED
a8_addr_ver_3 |
| A9. What is [NAME BUSINESS]’s correct mailing address? |
INTERVIEWER: UPDATE MAILING ADDRESS INFORMATION.
ADDRESS:
CITY:
STATE: ZIP:
DON’T KNOW /REFUSED
GO TO C1z |
| A10. What is the main reason [NAME BUSINESS] is out of business? |
SOLD TO ANOTHER BUSINESS
MERGED WITH ANOTHER BUSINESS
TEMPORARILY STOPPED OPERATIONS
PERMANENTLY STOPPED OPERATIONS GO TO A11a
OTHER (SPECIFY)
DON’T KNOW / REFUSED
A10_Out_Of_Business_3
THANK AND TERMINATE
|
| A11. In what calendar year did [NAME BUSINESS] close? |
YEAR | 2 | 0 | 0 | |
DON’T KNOW / REFUSED
a11_year_closed_3 |
| A11a. Did [NAME BUSINESS] file for bankruptcy? |
|
YES
NO
DON’T KNOW/ REFUSED
A11a_Bankruptcy_3
THANK AND TERMINATE
|
 C. Business Characteristics
| All of the following questions I’m going to ask are about [NAME BUSINESS]. Some of the questions will ask to confirm information about your business which you provided to us previously. As we go through the interview, please tell me if any of the information about your business is incorrect and needs to be updated. |
| |
| C1z. Our records show that [NAME BUSINESS] had a legal status of [tOWNERshipModel]. As of December 31, 2007, is that still the legal status of [NAME BUSINESS]? |
YES GO TO C1a
NO
DON’T KNOW / REFUSED
C1z_Confirm_Legal_Status_3 |
| C1z2. I’m going to read you a list of some different forms of legal status a business can have. As of December 31, 2007, which form of legal status did [NAME BUSINESS] have? Was it a . . . |
Sole Proprietorship,
Limited Liability Company,
Subchapter S-Corporation,
C-Corporation,
General Partnership,
Limited Partnership, or
Something else? (SPECIFY)
DON’T KNOW / REFUSED
C1z2_Legal_Status_3 |
| C1a. Our records indicate the principal activity of the business was [D&B NAICS CODE DESCRIPTION OR LAST YEAR’S OTHER SPECIFY TO THIS QUESTION]. Was that still the principal activity of the business as of December 31, 2007? |
YES GO TO C2
NO
DON’T KNOW / REFUSED
C1a_NAICS_verification_3 |
| C1b. As of December 31, 2007, what was the principal activity of the business? |
| IF SOLE PROPRIETORSHIP IN [tOWNERshipModel] [or C1z2], GO TO C5. |
| C2. As of December 31, 2007, how many individuals or entities owned [NAME BUSINESS]? Please include all individuals or entities who owned shares in the business. |
NUMBER OF OWNERS
DON’T KNOW / REFUSED
C2_Owners_3 |
| C3. Of the [NUMBER OF OWNERS FROM C2] owners as of December 31, 2007, how many owners actively helped to run [NAME BUSINESS]? By helped to run the business we mean that they provided regular assistance or advice with day-to-day operations of the business, rather than providing only money or occasional operating assistance. |
NUMBER OF OWNER/OPERATORS
DON’T KNOW/ REFUSED
C3a_Owner_ Operators_3 |
IF ONE OWNER/OPERATOR REPORTED AT C3, GO TO C5. IF MORE THAN ONE OWNER/OPERATOR REPORTED AT C3, ASK:
C4. FOR EACH SECOND FOLLOW-UP OWNER/OPERATOR WHO IS NOT THE RESPONDENT, ASK:
Was [OWNER NAME] still an owner who actively helped run [NAME BUSINESS]—as of December 31, 2007?
YES
NO
YES BUT THE NAME IS MISSPELLED
DON’T KNOW/ REFUSED
FOR ALL MISSPELLED NAMES, ASK:
How do you spell (your/his/her) name?
INTERVIEWER: ENTER NAME
THEN ASK:
How many other people, not previously listed, were owners actively helping to run [NAME BUSINESS] as of December 31, 2007.
INTERVIEWER: PREVIOUSLY LISTED PEOPLE ARE STATED BELOW. NUMBER OF OWNERS STATED IN C3: [FILL FROM C3]
I want to record with you the first and last names of these owners. These are the people who joined the business between the last time we talked to you and December 31, 2007. I’m going to be asking some questions about each of the owners who actively helped run [NAME BUSINESS]. Can you tell me the first and last name of the other owner(s) of ABC Business?
INTERVIEWER: ENTER FIRST AND LAST NAMES.
|
C4Confirm. I have listed:
FIRST NAME LAST NAME OWNER A (RESPONDENT) OWNER B OWNER C OWNER D C4_NumOwners_Confirm_3
Are there any other owner-operators as of December 31, 2007 of [NAME BUSINESS] that I have not mentioned?
INTERVIEWER: CONFIRM SPELLING OF NAMES. TO CORRECT NAMES, ARROW BACK TO TABLE.
ADD ANOTHER NAME OR
CORRECT A MISSPELLING
NO CHANGES
NOTE: UP TO 10 OWNER/OPERATOR/FOUNDERS WILL BE INCLUDED |
| C5. Not counting owner(s), on December 31, 2007, how many people worked for [NAME BUSINESS]? Please include all full- and part-time employees, but exclude contract workers who work for the business either full- or part-time but are not on the business’ official payroll. |
NUMBER OF EMPLOYEES ON DECEMBER 31, 2007
DON’T KNOW /REFUSED
C5_Num_Employees_3 |
| C5b. Was this change an increase, a decrease, or no change in the number of people who worked for [NAME BUSINESS] on December 31, 2007 compared to December 31, 2006? |
INCREASE
DECREASE
NO CHANGE
DON’T KNOW / REFUSED
C5b_Num_Employees_Change_3 |
| C5c. And what was the (increase/decrease) in the number of people who worked for [NAME BUSINESS] on December 31, 2007 compared to December 31, 2006? Your best estimate is fine. |
CHANGE IN NUMBER OF EMPLOYEES
DON’T KNOW / REFUSED
C5c_Num_Employees_Change_Amt_3
IF BUSINESS REPORTED “0” EMPLOYEES AT C5, GO TO C8. |
| C6. . . . And of those [NUMBER FROM C5], how many were full-time? (IF NEEDED: Full time is considered 35 hours or more per week) |
NUMBER OF DECEMBER 31, 2007
FULL-TIME EMPLOYEES
DON’T KNOW / REFUSED
C6_Num_FT_Employees_3 |
| C7. . . . And how many were part-time? (IF NEEDED: Part-time is considered less than 35 hours per week) |
NUMBER OF DECEMBER 31, 2007 PART-TIME EMPLOYEES
DON’T KNOW / REFUSED
C7_Num_PT_Employees_3 |
| C8z. Our records show that the primary location where [NAME BUSINESS] operates is [tPrimaryLocation]. Is that correct? |
YES GO TO C10
NO
DON’T KNOW / REFUSED
C8z_Primary_Loc_Confirm_3 |
| C8. How would you describe the primary location where [NAME BUSINESS] operates? Is it . . . |
A residence such as a home or garage,
A rented or leased space,
Space the business purchased,
A site where a client is located, or
Some other location? (SPECIFY)
DON’T KNOW / REFUSED
C8_Primary_Loc_3
c8_primary_loc_specify_3 |
| C9. What was the main reason for the change of location? |
Previous location too expensive
Needed more space due to growth of business
Moved closer to customers
Moved business and residence to new location
OTHER (SPECIFY)
DON’T KNOW / REFUSED
c9_loc_change_reason_3
c9otherspecify_3 |
| C10. As of December 31, 2007, did [NAME BUSINESS] operate in more than one location? |
YES
NO GO TO D1
c10_morelocations_3 |
| C11. And as of December 31, 2007, how many locations did [NAME BUSINESS] operate in? |
NUMBER OF LOCATIONS AS OF DECEMBER 31, 2007
c11_num_locations_3 |
| C11a. In what month and year did you open your second location? |
Month _____________________ Year | 2 | 0 | 0 | |
c11a_2ndopening_month_3
c11a_2ndopening_year_3 |
| |
 D. Strategy and Innovation
| D1. Does [NAME BUSINESS] provide (READ ITEM)? |
a. A service YES NO DON’T KNOW REFUSED
b. A product YES NO DON’T KNOW REFUSED
d1a_provide_service_3
d1b_provide_product_3 |
| D2. Businesses often have to compete with other businesses. A competitive advantage is something unique or distinctive a business provides that gives it an advantage compared to competitors. In calendar year 2007, did [NAME BUSINESS] have a competitive advantage over its competitors? |
YES GO TO D2a
NO GO TO D3
DON’T KNOW / REFUSED
d2_comp_advantage_3 |
| D2a. Was the competitive advantage [NAME BUSINESS] had in calendar year 2007 related in any way to [ITEM]?
D2b. Do you consider this to have given [NAME BUSINESS] a major or a minor competitive advantage in calendar year 2007?
REPEAT D2a-D2b FOR EACH ITEM.
|
D2a. Reason For Competitive Advantage
teaming up with a college or university?
teaming up with another company?
teaming up with a government lab or research center?
patents that [NAME BUSINESS] owns, has applied for, or licensed?
d2a_compadv_comp_reason_3
d2a_compadv_govlab_reason_3
d2a_compadv_patents_reason_3
d2a_compadv_univ_reason_3
D2b. Strength of reason for Competitive Advantage
MAJOR REASON
MINOR REASON
DON’T KNOW REFUSED
d2b_compadv_comp_strength_3
d2b_compadv_govlab_strength_3
d2b_compadv_patents_strength_3
d2b_compadv_univ_strength_3
|
D3. Whether assigned by an owner or obtained in some other way, does [NAME BUSINESS] have any of the following? (READ LIST)
FOR EACH “YES,” ASK: How many (READ ITEM) does [NAME BUSINESS] have?
INTERVIEWERS IF NEEDED:
Patent: A patent is a right given by the government to preclude others from making and selling an invention for 20 years from the date of application in return for disclosure of how the invention operates.
Copyright: The legal right granted to authors, composers, artists and publishers to protect their thoughts and ideas for exclusive publication, reproduction, sale and distribution of their works.
Trademark: Words, names, symbols or devices, or any combination of these used to identify the goods of a business and to distinguish these goods from the goods of others. |
a. Patents YES NO DON’T KNOW REFUSED
b. Copyrights YES NO DON’T KNOW REFUSED
c. Trademarks YES NO DON’T KNOW REFUSED
FOR EACH “YES,” ASK: How many
d3_a_have_patent_3
d3_a_num_patent_3
d3_b_have_copyright_3
d3_b_num_copyright_3
d3_c_have_trademark_3
d3_c_num_trademark_3 |
| D4. “Licensing out” is licensing patents, copyrights, or trademarks owned by the business to other parties under a licensing agreement. In calendar year 2007, did [NAME BUSINESS] license out any (READ ITEM)? |
a. Patents YES NO DON’T KNOW REFUSED
b. Copyrights YES NO DON’T KNOW REFUSED
c. Trademarks YES NO DON’T KNOW REFUSED
d4_a_lic_out_patent_3
d4_b_lic_out_copyright_3
d4_c_lic_out_trademark_3 |
| D5. “Licensing in” is acquiring the right to use intellectual property such as patents, copyrights, or trademarks created by someone outside the business through a licensing agreement. In calendar year 2007, did [NAME BUSINESS] license in any (READ ITEM)? |
a. Patents YES NO DON’T KNOW REFUSED
b. Copyrights YES NO DON’T KNOW REFUSED
c. Trademarks YES NO DON’T KNOW REFUSED
d5_a_lic_in_patent_3
d5_b_lic_in_copyright_3
d5_c_lic_in_trademark_3 |
| D6. Did [NAME BUSINESS] have any customers or sales in calendar year 2007? |
YES
NO
DON’T KNOW / REFUSED
d6_have_sales_3 |
| D7. I’d like to learn more about the type of customers that [NAME BUSINESS] had during calendar year 2007. I am going to ask you to estimate the percent of the business’ sales that were made to individuals, businesses, and government agencies. The total should equal 100%. |
a. During calendar year 2007, what percentage of the business’ sales were to private individuals?
PERCENTAGE
DON’T KNOW /REFUSED
b. What percentage of the business’ sales were to other businesses? [IF NEEDED: Please include sales to for-profit and not-for-profit business.]
PERCENTAGE
DON’T KNOW /REFUSED
c. What percentage of the business’ sales were to government agencies?
PERCENTAGE
DON’T KNOW /REFUSED
d7_perc_sales_bus_3
d7_perc_sales_govt_3
d7_perc_sales_indiv_3 |
| D8. Now, I will read you a list of customer locations. When I am done reading, please select only one answer choice for your response. During calendar year 2007, where were most of [NAME BUSINESS]’s customers located? Would you say . . . |
In neighborhoods local to the business
In the same city or county
In the same region, such as in nearby counties or states
Nationwide,
International? GO TO D8b
DON’T KNOW /REFUSED
d8_customer_locations_3 |
| D8a. During calendar year 2007, were any of [NAME BUSINESS]’s sales made to individuals, businesses, or governments outside the United States? |
YES
NO
DON’T KNOW /REFUSED
d8a_international_sales_3 |
| D8b. What percent of [NAME BUSINESS]’s total sales were to individuals, businesses, or governments outside of the United States? Would you say . . . |
Less than 5%
5% - 25%
26% - 50%
51% - 75%
76% - 100%
DON’T KNOW /REFUSED
d8b_perc_international_sales_3 |
| D9. During calendar year 2007, were any of [NAME BUSINESS]’s sales made to customers through the internet, such as through the business’ website or an online retailer site? |
YES
NO
DON’T KNOW /REFUSED
d9_internet_sales_3 |
| D9a. What percent of [NAME BUSINESS]’s total sales were sales made to customers through the internet? Would you say . . . |
Less than 5%
5% - 25%
26% - 50%
51% - 75%
76% - 100%
DON’T KNOW /REFUSED
d9a_perc_internet_sales_3 |
 E. Business Organization and HR Benefits
IF ONE OWNER REPORTED AT C2 AND BUSINESS REPORTED “0” EMPLOYEES AT C5, GO TO F1.
Next, I’d like to ask about how [NAME BUSINESS] is organized and about the benefits that are offered to employees. |
| |
|
| E1. On December 31, 2007, how many employees or owners, if any, did [NAME BUSINESS] have who were primarily responsible for (READ ITEM)? Please include only full- and part-time employees, but not contract workers who work for the business but are not on the business’ official payroll. |
a. Human resources such as employee benefits, recruitment, or hiring
b. Sales or Marketing such as sales, market research, customer analysis, or promotional activities
c. Executive administration functions such as strategic planning, competitive analysis, shareholder relations, or general management
d. Research and development on new products or services
e. Production or manufacturing such as producing materials or products, production planning, production control, quality control, or storage
f. General administration such as office management, responding to maintenance requests, purchase supplies, or training employees in office procedures
g. Financial administration such as accounting procedures, budgeting, financial analysis, or investment activities
h. Does [NAME BUSINESS] have employees with any other key responsibilities? (SPECIFY)
NUMBER EMPLOYEES OR OWNERS
e1_a_num_human_res_3
e1_b_num_sales_3
e1_c_num_exec_admin_3
e1_d_num_resdev_3
e1_e_num_prod_manu_3
e1_f_num_gen_admin_3
e1_g_num_fin_admin_3
e1_h_num_other_3
e1_h_other_specify_3 |
| E2a. As of December 31, 2007, did [NAME BUSINESS] offer full-time employees or owners (READ ITEM): |
a. A health insurance plan either through the business or an association
b. A retirement plan such as profit sharing, pension, including 401K, annuity, Keogh, etc.
c. Stock options or other stock ownership
d. A bonus plan
e. Tuition reimbursement
f. Paid vacation
g. Paid sick days
h. Alternative work schedules such as flex time or job sharing
i. Any other benefits? (SPECIFY)
e2a_ft_emp_hlth_plan_3
e2a_ft_emp_retire_plan_3
e2a_ft_emp_stock_own_3
e2a_ft_emp_bonus_plan_3
e2a_ft_emp_tuit_reim_3
e2a_ft_emp_paid_vaca_3
e2a_ft_emp_paid_sick_3
e2a_ft_emp_flex_time_3
e2a_ft_emp_other_3
e2a_other_specify_3 |
IF ZERO PART-TIME EMPLOYEES AT C7, GO TO F1.
E2b. As of December 31, 2007, did [NAME BUSINESS] offer part-time employees (READ ITEM): |
a. A health insurance plan either through the business or an association
b. A retirement plan such as profit sharing, pension, including 401K, annuity, Keogh, etc.
c. Stock options or other stock ownership
d. A bonus plan
e. Tuition reimbursement
f. Paid vacation
g. Paid sick days
h. Alternative work schedules such as flex time or job sharing
i. Any other benefits? (SPECIFY)
e2b_pt_emp_retire_plan_3
e2a_ft_emp_retire_plan_3
e2b_pt_emp_stock_own_3
e2b_pt_emp_bonus_plan_3
e2b_pt_emp_tuit_reim_3
e2b_pt_emp_paid_vaca_3
e2b_pt_emp_paid_sick_3
e2b_pt_emp_flex_time_3
e2b_pt_emp_other_3
e2b_other_specify_3 |
 F. Business Finances
F1. Now I’d like to ask about [NAME BUSINESS]’s financing. Businesses can get money from the savings or investments of the owner(s), money from spouses, family or other individuals, from companies, borrowing in an owner’s name, venture funds, or by borrowing in the name of the business. Some of the funds must be paid back and other funds represent an equity stake or share of the business. We will ask some questions about what happened during calendar year 2007, some questions about what has happened since the business began, and other questions about balances as of December 31, 2007.
F1a. First, in calendar year 2007, did [you/OWNER B-J] put any of your own money into [NAME BUSINESS] in return for an ownership share of the business? Please do not include any money borrowed from others or from credit cards.
IF NEEDED: This would include all additional money invested by [you/OWNER B-J] in the business during calendar year 2007. |
YES
NO GO TO F2a1
DON’T KNOW / REFUSED GO TO F2a1
f2_owner_eq_invest_01_3 |
| F2a. IF YES: How much of [your/her/his] own money did [you/he/she] put into the business during calendar year 2007? IF NEEDED: Your best estimate is fine. |
OWNER A $
DON’T KNOW / REFUSED
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES: Would you say it was . . .
$500 or less, 01
$501 to $1,000, 02
$1,001 to $3,000, 03
$3,001 to $5,000, 04
$5,001 to $10,000, 05
$10,001 to $25,000, 06
$25,001 to $100,000, 07
$100,001 to $1,000,000, 08
$1,000,001 or more? 09
DON’T KNOW /REFUSED
f2_owner_amt_eq_invest_01_3
f2_ownr_amt_eqinvest_range_01_3 |
F2a1. Counting all years, how much of [your/OWNER B-J] own money did [you/she/he] put into [NAME BUSINESS] as of December 31, 2007?
IF NEEDED: This includes all money [you/she/he] invested in the business as of December 31, 2007. |
TOTAL EQUITY
DON’T KNOW / REFUSED
PROBE: IF DON’T KNOW OR REFUSED, PROBE WITH RANGES:
Would you say it was . . .
$500 or less, 01
$501 to $1,000, 02
$1,001 to $3,000, 03
$3,001 to $5,000, 04
$5,001 to $10,000, 05
$10,001 to $25,000, 06
$25,001 to $100,000, 07
$100,001 to $1,000,000, 08
$1,000,001 or more? 09
DON’T KNOW /REFUSED
IF F2a IS GREATER THAN F2a1:
I may have made a mistake. The amount invested in 2007 is greater than the amount invested in all years combined. Is there an error?
f2_ownr_amt_eqinvest_allyrs_01_3
f2_ownr_eqinvst_allyrs_range01_3 |
| F2b. What percentage of the business did [you/OWNER B-J] own on December 31, 2007? |
PERCENTAGE OF BUSINESS
DON’T KNOW /REFUSED
f2_owner_perc_own_01_3
IF MORE THAN ONE OWNER/OPERATOR AT C4, ASK F1a-F2b FOR EACH OWNER/OPERATOR. OTHERWISE, GO TO F3.
f2_owner_amt_eq_invest_01_3
f2_owner_amt_eq_invest_02_3
f2_owner_amt_eq_invest_03_3
f2_owner_amt_eq_invest_04_3
f2_owner_amt_eq_invest_05_3
f2_owner_amt_eq_invest_06_3
f2_owner_amt_eq_invest_07_3
f2_owner_amt_eq_invest_08_3
f2_owner_amt_eq_invest_09_3
f2_owner_amt_eq_invest_10_3
f2_owner_amt_eq_invest_11_3
f2_owner_eq_invest_01_3
f2_owner_eq_invest_02_3
f2_owner_eq_invest_03_3
f2_owner_eq_invest_04_3
f2_owner_eq_invest_05_3
f2_owner_eq_invest_06_3
f2_owner_eq_invest_07_3
f2_owner_eq_invest_08_3
f2_owner_eq_invest_09_3
f2_owner_eq_invest_10_3
f2_owner_eq_invest_11_3
f2_owner_perc_own_01_3
f2_owner_perc_own_02_3
f2_owner_perc_own_03_3
f2_owner_perc_own_04_3
f2_owner_perc_own_05_3
f2_owner_perc_own_06_3
f2_owner_perc_own_07_3
f2_owner_perc_own_08_3
f2_owner_perc_own_09_3
f2_owner_perc_own_10_3
f2_owner_perc_own_11_3
f2_ownr_amt_eqinvest_allyrs_01_3
f2_ownr_amt_eqinvest_allyrs_02_3
f2_ownr_amt_eqinvest_allyrs_03_3
f2_ownr_amt_eqinvest_allyrs_04_3
f2_ownr_amt_eqinvest_allyrs_05_3
f2_ownr_amt_eqinvest_allyrs_06_3
f2_ownr_amt_eqinvest_allyrs_07_3
f2_ownr_amt_eqinvest_allyrs_08_3
f2_ownr_amt_eqinvest_allyrs_09_3
f2_ownr_amt_eqinvest_allyrs_10_3
f2_ownr_amt_eqinvest_allyrs_11_3
f2_ownr_amt_eqinvest_range_01_3
f2_ownr_amt_eqinvest_range_02_3
f2_ownr_amt_eqinvest_range_03_3
f2_ownr_amt_eqinvest_range_04_3
f2_ownr_amt_eqinvest_range_05_3
f2_ownr_amt_eqinvest_range_06_3
f2_ownr_amt_eqinvest_range_07_3
f2_ownr_amt_eqinvest_range_08_3
f2_ownr_amt_eqinvest_range_09_3
f2_ownr_amt_eqinvest_range_10_3
f2_ownr_amt_eqinvest_range_11_3
f2_ownr_eqinvst_allyrs_range01_3
f2_ownr_eqinvst_allyrs_range02_3
f2_ownr_eqinvst_allyrs_range03_3
f2_ownr_eqinvst_allyrs_range04_3
f2_ownr_eqinvst_allyrs_range05_3
f2_ownr_eqinvst_allyrs_range06_3
f2_ownr_eqinvst_allyrs_range07_3
f2_ownr_eqinvst_allyrs_range08_3
f2_ownr_eqinvst_allyrs_range09_3
f2_ownr_eqinvst_allyrs_range10_3
f2_ownr_eqinvst_allyrs_range11_3 |
| IF SOLE PROPRIETORSHIP AT QUESTION C1z OR C1z2, GO TO F6a. |
| |
| F3. Equity investment is money received in return for some portion of ownership, and it is another way to fund business expenses. During calendar year 2007, did the business obtain equity financing from any of the following sources? |
a. Spouses or life partners of owners of the business. This does not include spouses or life partners already named as owners
b. Parents, in-laws or children of owners of the business
c. Individuals who are not spouses or life partners, parents, in-laws or children of the owners, excluding venture capitalists
d. Other companies
e. Government agencies
f. Venture capitalists
g. Any other sources? (SPECIFY)
f3a_eq_invest_spouse_3
f3b_eq_invest_parents_3
f3c_eq_invest_angels_3
f3d_eq_invest_companies_3
f3e_eq_invest_govt_3
f3f_eq_invest_vent_cap_3
f3g_eq_invest_other_3 |
F4. FOR EACH EQUITY FINANCING OPTION REPORTED AS “YES” ABOVE, ASK:
In calendar year 2007, how much money did [NAME BUSINESS] receive from [EQUITY OPTION]? |
$ CALENDAR YEAR 2007 AMOUNT FROM EQUITY OPTION
DON’T KNOW /REFUSED
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES: Would you say it was . . .
$500 or less,
$501 to $1,000,
$1,001 to $3,000,
$3,001 to $5,000,
$5,001 to $10,000,
$10,001 to $25,000,
$25,001 to $100,000,
$100,001 to $1,000,000,
$1,000,001 or more?
DON’T KNOW/ REFUSED
f4_eq_amt_angels_3
f4_eq_amt_companies_3
f4_eq_amt_govt_3
f4_eq_amt_other_3
f4_eq_amt_parents_3
f4_eq_amt_spouse_3
f4_eq_amt_vent_cap_3
f4a_eq_amt_angels_ranges_3
f4a_eq_amt_companies_ranges_3
f4a_eq_amt_govt_ranges_3
f4a_eq_amt_other_ranges_3
f4a_eq_amt_parents_ranges_3
f4a_eq_amt_spouse_ranges_3
f4a_eq_amt_vent_cap_ranges_3 |
F4a. Counting all years, how much did [EQUITY OPTION] put into [NAME BUSINESS] as of December 31, 2007?
PROBE: This includes all money invested by [EQUITY OPTION] in all years. |
$ TOTAL EQUITY
DON’T KNOW /REFUSED
PROBE: IF DON’T KNOW OR REFUSED, PROBE WITH RANGES: Would you say it was . . .
$500 or less, 01
$501 to $1,000, 02
$1,001 to $3,000, 03
$3,001 to $5,000, 04
$5,001 to $10,000, 05
$10,001 to $25,000, 06
$25,001 to $100,000, 07
$100,001 to $1,000,000, 08
$1,000,001 or more? 09
DON’T KNOW /REFUSED
f4_eq_amt_angels_allyrs_3
f4_eq_amt_angels_allyrs_ranges_3
f4_eq_amt_comp_allyrs_range_3
f4_eq_amt_companies_allyrs_3
f4_eq_amt_govt_allyrs_3
f4_eq_amt_govt_allyrs_ranges_3
f4_eq_amt_other_allyrs_3
f4_eq_amt_other_allyrs_ranges_3
f4_eq_amt_parents_allyrs_3
f4_eq_amt_parents_allyrs_range_3
f4_eq_amt_spouse_allyrs_3
f4_eq_amt_vent_cap_allyrs_3
f4_eq_amt_ventcap_allyrs_range_3
IF F4 IS GREATER THAN F4a:
I may have made a mistake. The amount invested in 2007 is greater than the amount invested in all years combined. Is there an error? |
F5. FOR EACH EQUITY FINANCING OPTION REPORTED AS “YES” ABOVE, ASK:
What was the total percentage of the business owned by the [EQUITY OPTION] who invested money in the business as of December 31, 2007? |
PERCENT
DON’T KNOW / REFUSED
f5_perc_owned_angels_3
f5_perc_owned_companies_3
f5_perc_owned_govt_3
f5_perc_owned_other_3
f5_perc_owned_parents_3
f5_perc_owned_spouse_3
f5_perc_owned_vent_cap_3
INTERVIEWER CHECK BOX: CHECK ANSWER FROM F2b AND F5 FOR TOTAL PERCENTAGE OF BUSINESS ACCOUNTED FOR.
f6check_3
IF TOTAL PERCENTAGE EQUALS 100%, GO TO F6a
IF TOTAL EQUALS LESS OR MORE THAN 100% |
F6. So far, you’ve given me the following information on who owns [NAME BUSINESS]: [LIST EQUITY INVESTORS FROM F2b AND F5]. Can we review this list?
REVIEW LIST OF OWNERS AND PERCENTAGES WITH RESPONDENT. MAKE CHANGES AS NEEDED, ADDING NEW OWNERS AND/OR PERCENTAGES AS NECESSARY. |
f6_perc_owned_owner_01_3
f6_perc_owned_owner_02_3
f6_perc_owned_owner_03_3
f6_perc_owned_owner_04_3
f6_perc_owned_owner_05_3
f6_perc_owned_owner_06_3
f6_perc_owned_owner_07_3
f6_perc_owned_owner_08_3
f6_perc_owned_owner_09_3
f6_perc_owned_owner_10_3
f6_perc_owned_owner_11_3
f6_perc_owned_owner_12_3
f6_perc_owned_owner_13_3 |
F6a. Have you or other owners withdrawn money from the business for personal use in 2007?
INTERVIEWER: IF NEEDED—This does not include owner salaries. |
YES
NO
DON’T KNOW / REFUSED
f6a_personal_use_3 |
| F6b. IF YES: Thinking of calendar year 2007, how much money, if any, did you and other owners withdraw from the business for personal use? This includes any dividends paid. |
TOTAL DRAWINGS 2007
DON’T KNOW / REFUSED
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES: Would you say it was . . .
$500 or less,
$501 to $1,000,
$1,001 to $3,000,
$3,001 to $5,000,
$5,001 to $10,000,
$10,001 to $25,000,
$25,001 to $100,000,
$100,001 to $1,000,000,
$1,000,001 or more?
DON’T KNOW / REFUSED
f6b_personal_use_amt_2007_3
f6b_personaluse_amt_2007_range_3 |
F7a. Another way to finance a business is debt financing. Debt is money borrowed that has to be paid back with or without interest.
We will be talking about categories of debt based on who is responsible for paying it back. For each category, I’ll ask you about several sources of debt business owners or businesses can use to fund operations. We want to make sure that any business-related debt is reported in the right category, and is reported only once. I will identify each category and remind you when I change categories. Here is the first category.
I’m going to ask you about some different types of debt financing you may have borrowed in your name on behalf of [NAME BUSINESS]. For each, please tell me if you used this type at any time during calendar year 2007. Did you use [NAME FINANCING OPTION FROM LIST]? |
YES/NO/DON’T KNOW / REFUSED
a. Personal credit cards for business-related purposes
b. Personal loans from a bank or other financial institution, such as a mortgage or home equity loan used for the business
c. Business or corporate credit cards issued in your name
d. Personal loans from any family or friends
e. Personal loans from any other individuals not associated with the management of the business
f. Any other sources? (SPECIFY)
f7_pers_other_specify_3
f7a_bus_credcard_3
f7a_pers_credcard_3
f7a_pers_loan_bank_3
f7a_pers_loan_fam_3
f7a_pers_loan_other_3
f7a_pers_other_3 |
| F7b. IN BELOW LIST, FOR EACH DEBT FINANCING OPTION BUSINESS REPORTED, ASK: How many [NAME DEBT FINANCING OPTION] did you use to finance the operation of the business during calendar year 2007? |
NUMBER USED
a. Personal credit cards for business-related purposes
b. Personal loans from a bank or other financial institution, such as a mortgage or home equity loan used for the business
c. Business or corporate credit cards issued in your name
d. Personal loans from any family or friends
e. Personal loans from any other individuals not associated with the management of the business
f. Any other sources? (SPECIFY)
f7b_bus_credcard_numused_3
f7b_pers_credcard_numused_3
f7b_pers_loan_bank_numused_3
f7b_pers_loan_fam_numused_3
f7b_pers_loan_other_numused_3
f7b_pers_other_numused_3 |
| F8a. IF ANSWERED “YES” TO F7a ITEMS a, c, ASK: As of December 31, 2007, what was the maximum credit line on the [NAME DEBT FINANCING OPTION]? |
DECEMBER 31, 2007 CREDIT LINE
DON’T KNOW / REFUSED
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES: Would you say it was . . .
$500 or less,
$501 to $1,000,
$1,001 to $3,000,
$3,001 to $5,000,
$5,001 to $10,000,
$10,001 to $25,000,
$25,001 to $100,000,
$100,001 to $1,000,000,
$1,000,001 or more?
DON’T KNOW / REFUSED
f8a_bus_credcard_line_3
f8a_bus_credcard_line_ranges_3
f8a_pers_credcard_line_3
f8a_pers_credcard_line_ranges_3 |
| F8b. IF ANSWERED “YES” TO F7a ITEMS a, c, ASK: As of December 31, 2007, what was the outstanding balance on the [NAME DEBT FINANCING OPTION]? |
DECEMBER 31, 2007 OUTSTANDING CREDIT CARD BALANCE
DON’T KNOW / REFUSED
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES: Would you say it was . . .
$500 or less,
$501 to $1,000,
$1,001 to $3,000,
$3,001 to $5,000,
$5,001 to $10,000,
$10,001 to $25,000,
$25,001 to $100,000,
$100,001 to $1,000,000,
$1,000,001 or more?
DON’T KNOW / REFUSED
f8b_bus_credcard_bal_3
f8b_bus_credcard_bal_ranges_3
f8b_pers_credcard_bal_3
f8b_pers_credcard_bal_ranges_3 |
IF F8b IS GREATER THAN F8a:
Perhaps I made a mistake. The amount I recorded as the balance outstanding is greater than the amount reported as the maximum credit limit. |
| |
| F8c. IF ANSWERED “YES” TO F7a ITEMS b, d, e, f, ASK: In calendar year 2007, how much was obtained from the [NAME DEBT FINANCING OPTION]? |
$ CALENDAR YEAR 2007 DEBT AMOUNT
DON’T KNOW / REFUSED
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES: Would you say it was . . .
$500 or less,
$501 to $1,000,
$1,001 to $3,000,
$3,001 to $5,000,
$5,001 to $10,000,
$10,001 to $25,000,
$25,001 to $100,000,
$100,001 to $1,000,000,
$1,000,001 or more?
DON’T KNOW / REFUSED
f8c_pers_loan_bank_amt_3
f8c_pers_loan_bank_amt_ranges_3
f8c_pers_loan_fam_amt_3
f8c_pers_loan_fam_amt_ranges_3
f8c_pers_loan_other_amt_3
f8c_pers_loan_other_amt_ranges_3
f8c_pers_other_amt_3
f8c_pers_other_amt_ranges_3 |
| F8d. As of December 31, 2007, what was the estimated amount of the [NAME DEBT FINANCING OPTION] owed by you on behalf of [NAME BUSINESS]? |
$ DEBT FINANCING VALUE AS OF DECEMBER 31, 2007
DON’T KNOW / REFUSED
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES: Would you say it was . . .
$500 or less,
$501 to $1,000,
$1,001 to $3,000,
$3,001 to $5,000,
$5,001 to $10,000,
$10,001 to $25,000,
$25,001 to $100,000,
$100,001 to $1,000,000,
$1,000,001 or more?
DON’T KNOW / REFUSED
f8d_pers_loan_bank_owed_3
f8d_pers_loan_bank_owed_ranges_3
f8d_pers_loan_fam_owed_3
f8d_pers_loan_fam_owed_ranges_3
f8d_pers_other_owed_3
f8d_pers_other_owed_ranges_3
f8d_pers_loan_other_owed_3
f8d_persloan_other_owed_range_3 |
IF MORE THAN ONE OWNER/OPERATOR AT C4, ASK F9a. OTHERWISE, GO TO F11a.
F9a. Here is the next debt category. I’m going to ask you about some different types of debt financing that other owners may have borrowed on behalf of [NAME BUSINESS]. This debt does not include amounts already reported in the previous section about your debt. For each, please tell me if other owners used this type at any time during calendar year 2007. Did other owners use [NAME DEBT FINANCING OPTION FROM LIST]? |
Yes/NO/DON’T KNOW / REFUSED
a. Personal credit cards for business-related purposes
b. Personal loans from a bank or other financial institution, such as a mortgage or home equity loan used for the business
c. Business or corporate credit cards issued in the other owner’s name(s)
d. Personal loans from any family or friends
e. Personal loans from any other individuals not associated with the management of the business
f. Any other sources? (SPECIFY)
f9a_bus_credcard_3
f9a_pers_credcard_3
f9a_pers_loan_bank_3
f9a_pers_loan_fam_3
f9a_pers_loan_other_3
f9a_pers_other_3
f9_pers_other_specify_3 |
| F9b. IN BELOW LIST, FOR EACH DEBT FINANCING OPTION BUSINESS REPORTED, ASK: How many [NAME DEBT FINANCING OPTION] did other owners use to finance the operation of the business during calendar year 2007? |
NUMBER USED
a. Personal credit cards for business-related purposes
b. Personal loans from a bank or other financial institution, such as a mortgage or home equity loan used for the business
c. Business or corporate credit cards issued in the other owner’s name(s)
d. Personal loans from any family or friends
e. Personal loans from any other individuals not associated with the management of the business
f. Any other sources? (SPECIFY)
f9b_bus_credcard_numused_3
f9b_pers_credcard_numused_3
f9b_pers_loan_bank_numused_3
f9b_pers_loan_fam_numused_3
f9b_pers_loan_other_numused_3
f9b_pers_other_numused_3 |
| F10a. IF ANSWERED “YES” TO F9a ITEMS a, c, ASK: As of December 31, 2007, what was the maximum credit line on the [NAME DEBT FINANCING OPTION] of (one of) the other owner(s)? |
$ DECEMBER 31, 2007 CREDIT LINE
DON’T KNOW / REFUSED
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES: Would you say it was . . .
$500 or less,
$501 to $1,000,
$1,001 to $3,000,
$3,001 to $5,000,
$5,001 to $10,000,
$10,001 to $25,000,
$25,001 to $100,000,
$100,001 to $1,000,000,
$1,000,001 or more?
DON’T KNOW / REFUSED
f10a_bus_credcard_line_3
f10a_bus_credcard_line_ranges_3
f10a_pers_credcard_line_3
f10a_pers_credcard_line_ranges_3 |
| F10b. IF ANSWERED “YES” TO F9a ITEMS a, c, ASK: As of December 31, 2007, what was the outstanding balance on the [NAME DEBT FINANCING OPTION] used by (one of) the other owner(s)? |
$ DECEMBER 31, 2007 OUTSTANDING CREDIT CARD BALANCE
DON’T KNOW / REFUSED
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES: Would you say it was . . .
$500 or less,
$501 to $1,000,
$1,001 to $3,000,
$3,001 to $5,000,
$5,001 to $10,000,
$10,001 to $25,000,
$25,001 to $100,000,
$100,001 to $1,000,000,
$1,000,001 or more?
DON’T KNOW / REFUSED
f10b_bus_credcard_bal_3
f10b_bus_credcard_bal_ranges_3
f10b_pers_credcard_bal_3
f10b_pers_credcard_bal_ranges_3
IF F10b IS GREATER THAN F10a:
Perhaps I made a mistake. The amount I recorded as the balance outstanding is greater than the amount reported as the maximum credit limit. |
| F10c. IF ANSWERED “YES” TO F9a, ITEMS b, d, e, f, ASK: In calendar year 2007, how much was obtained from the [NAME DEBT FINANCING OPTION] other owners used? |
$ CALENDAR YEAR 2007 DEBT AMOUNT
DON’T KNOW / REFUSED
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES: Would you say it was . . .
$500 or less,
$501 to $1,000,
$1,001 to $3,000,
$3,001 to $5,000,
$5,001 to $10,000,
$10,001 to $25,000,
$25,001 to $100,000,
$100,001 to $1,000,000,
$1,000,001 or more?
DON’T KNOW / REFUSED
f10c_pers_loan_bank_amt_3
f10c_pers_loan_bank_amt_ranges_3
f10c_pers_loan_fam_amt_3
f10c_pers_loan_fam_amt_ranges_3
f10c_pers_loan_other_amt_3
f10c_pers_other_amt_3
f10c_pers_other_amt_ranges_3
f10c_persloan_other_amt_range_3 |
| F10d. As of December 31, 2007, what was the estimated amount of the [NAME DEBT FINANCING OPTION] owed by other owners on behalf of [NAME BUSINESS]? |
$ DEBT AMOUNT AS OF DECEMBER 31, 2007
$ CALENDAR YEAR 2007 DEBT AMOUNT
DON’T KNOW / REFUSED
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES: Would you say it was . . .
$500 or less,
$501 to $1,000,
$1,001 to $3,000,
$3,001 to $5,000,
$5,001 to $10,000,
$10,001 to $25,000,
$25,001 to $100,000,
$100,001 to $1,000,000,
$1,000,001 or more?
DON’T KNOW / REFUSED
f10d_pers_loan_bank_owed_3
f10d_persloan_bank_owed_range_3
f10d_pers_loan_fam_owed_3
f10d_pers_loan_fam_owed_ranges_3
f10d_pers_other_owed_3
f10d_pers_other_owed_ranges_3
f10d_pers_loan_other_owed_3
f10d_persloan_other_owed_range_3 |
| F11a. We are once again switching to another debt category. Now I’m going to ask you about some different types of debt financing that may have been obtained in the name of the business during calendar year 2007. This debt does not include amounts already reported in the previous sections about your debt or the debt of other owners. During calendar year 2007, did [NAME BUSINESS] use [NAME DEBT FINANCING OPTION FROM LIST]? |
Yes/NO/DON’T KNOW / REFUSED
a. Business or corporate credit cards issued in the name of the business
b. Business loans from a commercial bank
c. Business line of credit (READ IF NEEDED: a business line of credit is when a business has an agreement with a bank or other financial institution to borrow up to a certain amount of funds)
d. Business loans from a non-bank financial institution
e. Business loans from any family or friends of the owners
f. Business loans from another owner of the business or a partner
g. [IF HAVE EMPLOYEES AT C5] Loans to the business from employees that are not owners of the business
h. Loans from government agencies
i. Loans from other businesses
j. Business loans from any other individuals not associated with the management of the business
k. Any other sources? (SPECIFY)
f11_bus_other_specify_3
f11a_bus_cred_line_3
f11a_bus_credcard_3
f11a_bus_loans_bank_3
f11a_bus_loans_emp_3
f11a_bus_loans_fam_3
f11a_bus_loans_govt_3
f11a_bus_loans_nonbank_3
f11a_bus_loans_other_bus_3
f11a_bus_loans_other_ind_3
f11a_bus_loans_owner_3
f11a_bus_other_3 |
| F11b. IN BELOW LIST, FOR EACH DEBT FINANCING OPTION BUSINESS REPORTED, ASK: How many [NAME DEBT FINANCING OPTION] did the business use to finance the operation or the business during calendar year 2007? |
NUMBER USED
a. Business or corporate credit cards issued in the name of the business
b. Business loans from a commercial bank
c. Business line of credit (READ IF NEEDED: a business line of credit is when a business has an agreement with a bank or other financial institution to borrow up to a certain amount of funds)
d. Business loans from a non-bank financial institution
e. Business loans from any family or friends of the owners
f. Business loans from another owner of the business or a partner
g. [IF HAVE EMPLOYEES AT C5] Loans to the business from employees that are not owners of the business
h. Loans from government agencies
i. Loans from other businesses
j. Business loans from any other individuals not associated with the management of the business
k. Any other sources? (SPECIFY)
f11a_busloans_otherbus_numused_3
f11b_bus_cred_line_numused_3
f11b_bus_credcard_numused_3
f11b_bus_loans_bank_numused_3
f11b_bus_loans_emp_numused_3
f11b_bus_loans_fam_numused_3
f11b_bus_loans_govt_numused_3
f11b_bus_loans_nonbank_numused_3
f11b_bus_loans_owner_numused_3
f11b_bus_other_numused_3
f11b_busloans_otherind_numused_3 |
| F12a. IF ANSWERED “YES” TO F11a ITEMS a, c, ASK: As of December 31, 2007, what was the maximum credit line on the [NAME DEBT FINANCING OPTION]? |
$ DECEMBER 31, 2007 CREDIT LINE
DON’T KNOW / REFUSED
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES: Would you say it was . . .
$500 or less,
$501 to $1,000,
$1,001 to $3,000,
$3,001 to $5,000,
$5,001 to $10,000,
$10,001 to $25,000,
$25,001 to $100,000,
$100,001 to $1,000,000,
$1,000,001 or more?
DON’T KNOW / REFUSED
f12a_bus_cred_line_3
f12a_bus_cred_line_ranges_3
f12a_bus_credcard_line_3
f12a_bus_credcard_line_ranges_3 |
| F12b. IF ANSWERED “YES” TO F11a ITEMS a, c, ASK: As of December 31, 2007, what was the outstanding balance on the [NAME DEBT FINANCING OPTION]? |
$ DECEMBER 31, 2007 OUTSTANDING CREDIT BALANCE
DON’T KNOW / REFUSED
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES: Would you say it was . . .
$500 or less,
$501 to $1,000,
$1,001 to $3,000,
$3,001 to $5,000,
$5,001 to $10,000,
$10,001 to $25,000,
$25,001 to $100,000,
$100,001 to $1,000,000,
$1,000,001 or more?
DON’T KNOW / REFUSED
f12b_bus_cred_line_bal_3
f12b_bus_cred_line_bal_ranges_3
f12b_bus_credcard_bal_3
f12b_bus_credcard_bal_ranges_3 |
IF F12a IS GREATER THAN F12b:
Perhaps I made a mistake. The amount I recorded as the balance outstanding is greater than the amount reported as the maximum credit limit. |
| |
| F12c. IF ANSWERED “YES” TO F11a ITEMS b, d-k, ASK: In calendar year 2007, how much was the amount obtained from [NAME DEBT FINANCING OPTION] used by [NAME BUSINESS]? |
$ CALENDAR YEAR 2007 DEBT AMOUNT
DON’T KNOW / REFUSED
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES: Would you say it was . . .
$500 or less,
$501 to $1,000,
$1,001 to $3,000,
$3,001 to $5,000,
$5,001 to $10,000,
$10,001 to $25,000,
$25,001 to $100,000,
$100,001 to $1,000,000,
$1,000,001 or more?
DON’T KNOW / REFUSED
f12c_bus_loans_bank_amt_3
f12c_bus_loans_bank_amt_ranges_3
f12c_bus_loans_bus_amt_3
f12c_bus_loans_bus_amt_ranges_3
f12c_bus_loans_emp_amt_3
f12c_bus_loans_emp_amt_ranges_3
f12c_bus_loans_fam_amt_3
f12c_bus_loans_fam_amt_ranges_3
f12c_bus_loans_govt_amt_3
f12c_bus_loans_govt_amt_ranges_3
f12c_bus_loans_nonbank_amt_3
f12c_bus_loans_other_ind_amt_3
f12c_bus_loans_owner_amt_3
f12c_bus_other_amt_3
f12c_bus_other_amt_ranges_3
f12c_busloans_nonbnk_amt_range_3
f12c_busloans_other_ind_range_3
f12c_busloans_owner_amt_range_3 |
| F12d. As of December 31, 2007, what was the estimated amount of the [NAME DEBT FINANCING OPTION] owed by [NAME BUSINESS]? |
$ DEBT AMOUNT AS OF DECEMBER 31, 2007
DON’T KNOW / REFUSED
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES: Would you say it was . . .
$500 or less,
$501 to $1,000,
$1,001 to $3,000,
$3,001 to $5,000,
$5,001 to $10,000,
$10,001 to $25,000,
$25,001 to $100,000,
$100,001 to $1,000,000,
$1,000,001 or more?
DON’T KNOW / REFUSED
f12d_bus_loans_bank_owed_3
f12d_bus_loans_bus_owed_3
f12d_bus_loans_bus_owed_ranges_3
f12d_bus_loans_emp_owed_3
f12d_bus_loans_emp_owed_ranges_3
f12d_bus_loans_fam_owed_3
f12d_bus_loans_fam_owed_ranges_3
f12d_bus_loans_govt_owed_3
f12d_bus_loans_nonbank_owed_3
f12d_bus_loans_other_ind_owed_3
f12d_bus_loans_owner_owed_3
f12d_bus_other_owed_3
f12d_bus_other_owed_ranges_3
f12d_busloan_nonbnk_owed_range_3
f12d_busloan_othind_owed_range_3
f12d_busloans_bank_owed_range_3
f12d_busloans_govt_owed_range_3
f12d_busloans_owner_owed_range_3 |
| F13. Trade financing is where a business has an arrangement with a supplier to make purchases on account. In calendar year 2007, did [NAME BUSINESS] make any purchases through trade financing? |
YES
NO / DON’T KNOW / REFUSED GO TO F15
f13_trade_fin_3 |
| F14. IF YES: In calendar year 2007, what was the amount of purchases made through trade financing? |
$ CALENDAR YEAR 2007 AMOUNT OF TRADE PURCHASES
DON’T KNOW / REFUSED
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES: Would you say it was . . .
$500 or less,
$501 to $1,000,
$1,001 to $3,000,
$3,001 to $5,000,
$5,001 to $10,000,
$10,001 to $25,000,
$25,001 to $100,000,
$100,001 to $1,000,000,
$1,000,001 or more?
DON’T KNOW / REFUSED
f14a_trade_fin_amt_3
f14a_trade_fin_amt_ranges_3 |
| F14c. This next section is about applications for credit [NAME BUSINESS] made in calendar year 2007. In responding to these questions, include new as well as renewal applications for lines of credit and other types of loans. Do not include applications for credit cards, loans from owners, trade credit with suppliers, or loan applications that were withdrawn or are still pending. |
| F14d. Did [NAME BUSINESS] make any applications for new or renewed loans or lines of credit in calendar year 2007? |
YES
NO GO TO F14g
DON’T KNOW / REFUSED GO TO F14g
f14d_new_loans_3 |
| F14e. Were these applications ... |
ALWAYS APPROVED, GO TO F14g
SOMETIMES APPROVED AND SOMETIMES DENIED
ALWAYS DENIED
DON’T KNOW / REFUSED GO TO F14g
f14e_approved_denied_3 |
| F14f. Consider the most recent time [NAME BUSINESS]’s credit application was denied. Officially, was the application denied because of . . . |
a. Insufficient collateral?
b. The loan requested was too large?
c. Inadequate documentation provided?
d. Business credit history?
e. Personal credit history?
f. Not being in business long enough?
g. Any other reason? (SPECIFY)
f14f_bus_credit_hist_3
f14f_inadeq_doc_3
f14f_insuff_coll_3
f14f_loan_toolarge_3
f14f_new_bus_3
f14f_other_3
f14f_otherspecify_3
f14f_pers_credit_hist_3 |
| F14g. During calendar year 2007, was there any time when [NAME BUSINESS] needed credit, but did not apply because you or others associated with [NAME BUSINESS] thought the application would be denied? |
YES
NO
DON’T KNOW / REFUSED
f14g_didnotapply_3 |
| F15. In calendar year 2007, did [NAME BUSINESS] receive any revenue (money), from the sales of goods, services, or intellectual property? [IF SOLE PROPRIETORSHIP, ADD: This would be gross receipts reported on a Schedule C or C-EZ with your personal income tax return.] |
YES
NO / DON’T KNOW / REFUSED GO TO F17
f15_revenue_2007_3
IF F15 = 01 AND D6 = 00:
I may have made a mistake. Earlier in the interview, I recorded that [NAME BUSINESS] did not have any customers or sales in calendar year 2007. Is there an error? |
| F16. What was [NAME BUSINESS]’s total revenue for calendar year 2007? [IF SOLE PROPRIETORSHIP, ADD: This would be gross receipts reported on a Schedule C or C-EZ with your personal income tax return.] |
$ TOTAL REVENUE 2007
DON’T KNOW / REFUSED
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES: Would you say it was . . .
$500 or less,
$501 to $1,000,
$1,001 to $3,000,
$3,001 to $5,000,
$5,001 to $10,000,
$10,001 to $25,000,
$25,001 to $100,000,
$100,001 to $1,000,000,
$1,000,001 or more?
DON’T KNOW / REFUSED
f16a_rev_2007_amt_3
f16a_rev_2007_amt_ranges_3 |
| F16b. Was this an increase, a decrease, or no change in the amount of revenue for [NAME BUSINESS] in 2007 compared to 2006? |
INCREASE
DECREASE
NO CHANGE GO TO F17
DON’T KNOW / REFUSED
f16b_rev_2007_change_3 |
| F16c. And what was the percentage change in revenue in 2007 compared 2006? Your best estimate is fine. |
% CHANGE IN REVENUE
DON’T KNOW /REFUSED
f16c_perc_change_3 |
| F17. Now I’m going to ask about the expenses the business paid. Expenses are the costs paid for the operation of the business, including wages, salaries, interest on loans, capital leases, materials, etc. How much, if any, did [NAME BUSINESS] pay in expenses during calendar year 2007? |
$ TOTAL EXPENSES IN CALENDAR YEAR 2007
DON’T KNOW / REFUSED
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES: Would you say it was . . .
$500 or less,
$501 to $1,000,
$1,001 to $3,000,
$3,001 to $5,000,
$5,001 to $10,000,
$10,001 to $25,000,
$25,001 to $100,000,
$100,001 to $1,000,000,
$1,000,001 or more?
DON’T KNOW / REFUSED
f17a_total_exp_2007_amt_3
f17a_total_exp_2007_amt_ranges_3 |
| F17b. Was this an increase, a decrease, or no change in total expenses for [NAME BUSINESS] in 2007 compared to 2006? |
INCREASE
DECREASE
NO CHANGE GO TO F18
DON’T KNOW / REFUSED
f17b_total_exp_2007_change_3 |
| F17c. And what was the percentage change in total expenses in 2007 compared to 2006? Your best estimate is fine. |
% CHANGE IN EXPENSES
DON’T KNOW /REFUSED
f17c_perc_change_3 |
F18. IF BUSINESS REPORTED “0” EMPLOYEES AT C5, GO TO F19.
How much, if any, did [NAME BUSINESS] pay in wages, salaries, and benefits to full and part-time employees in calendar year 2007? Please do not include wages, salaries, and benefits to contract workers who work for the business but are not on the business’ official payroll. |
$ TOTAL PAYROLL EXPENSES IN CALENDAR YEAR 2007
DON’T KNOW / REFUSED
IF DON’T KNOW OR REFUSED, PROBE WITH RANGES: Would you say it was . . .
$500 or less,
$501 to $1,000,
$1,001 to $3,000,
$3,001 to $5,000,
$5,001 to $10,000,
$10,001 to $25,000,
$25,001 to $100,000,
$100,001 to $1,000,000,
$1,000,001 or more?
DON’T KNOW / REFUSED
f18a_wage_exp_2007_amt_3
f18b_wage_exp_2007_amt_ranges_3
IF F18 > F17:
I may have made a mistake. I recorded that the business’ wage expenses for 2007 were greater than its total expenses. Is there an error? |
| F19. Did [NAME BUSINESS] spend any money on research and development of new products and services during calendar year 2007? |
YES
NO
DON’T KNOW / REFUSED
f19_res_dev_3 |
| F19a. Please estimate [NAME BUSINESS]’s total research and development expenses for calendar year 2007, including materials, equipment, space, salaries, wages, benefits, and consulting fees? |
$ | | | |,| | | |,| | | | TOTAL RESEARCH AND DEVELOPMENT EXPENSES IN CALENDAR YEAR 2007
F DON’T KNOW OR REFUSED, PROBE WITH RANGES: Would you say it was . . .
$500 or less,
$501 to $1,000,
$1,001 to $3,000,
$3,001 to $5,000,
$5,001 to $10,000,
$10,001 to $25,000,
$25,001 to $100,000,
$100,001 to $1,000,000,
$1,000,001 or more?
DON’T KNOW / REFUSED
f19a_res_dev_amt_2007_3
f19b_res_dev_amt_2007_ranges_3
IF F19a > F17:
I may have made a mistake. I recorded that the business’ research and development expenses for 2007 were greater than its total expenses. Is there an error?
|
| F20. Did [NAME BUSINESS] spend any money on the purchase of new or used machinery or equipment during calendar year 2007? |
YES
NO
DON’T KNOW / REFUSED
f20_mach_3 |
| F21. Did [NAME BUSINESS] spend any money on rental or lease payments for buildings or other structures during calendar year 2007? |
YES
NO
DON’T KNOW / REFUSED
f21_land_rent_3 |
| F22. Did [NAME BUSINESS] spend any money on rental or lease payments for machinery or equipment during calendar year 2007? |
YES
NO
DON’T KNOW / REFUSED
f22_mach_rent_3 |
| F23. Did [NAME BUSINESS] have a profit or loss in calendar year 2007? |
PROFIT GO TO F24
LOSS GO TO F26
DON’T KNOW / REFUSED
f23_profit_or_loss_3
IF F23 = 01 AND F15 = 00:
I may have made a mistake. Earlier in the interview, I recorded that [NAME BUSINESS] did not have any revenue in calendar year 2007. Is there an error?
|
F24. Profit is the business’ income after all expenses and taxes have been deducted.
What was [NAME BUSINESS]’s total profit for calendar year 2007
|
$ TOTAL PROFIT IN CALENDAR YEAR 2007
DON’T KNOW / REFUSED
f24_profit_amt_3 |
| F25. IF DON’T KNOW OR REFUSED, PROBE WITH RANGES: Would you say it was . . . |
$500 or less,
$501 to $1,000,
$1,001 to $3,000,
$3,001 to $5,000,
$5,001 to $10,000,
$10,001 to $25,000,
$25,001 to $100,000,
$100,001 to $1,000,000,
$1,000,001 or more?
DON’T KNOW / REFUSED
f25_profit_amt_ranges_3 |
F26. Loss is the business’ negative income after all expenses and taxes have been deducted. What was [NAME BUSINESS]’s total loss for calendar year 2007
|
$ TOTAL LOSS IN CALENDAR YEAR 2007
DON’T KNOW / REFUSED
f26_loss_amt_3 |
| F27. IF DON’T KNOW OR REFUSED, PROBE WITH RANGES: Would you say it was . . . |
$500 or less,
$501 to $1,000,
$1,001 to $3,000,
$3,001 to $5,000,
$5,001 to $10,000,
$10,001 to $25,000,
$25,001 to $100,000,
$100,001 to $1,000,000,
$1,000,001 or more?
DON’T KNOW / REFUSED
f27_loss_amt_ranges_3 |
| F28. Assets are what the business owns. As of December 31, 2007, did [NAME BUSINESS]’s assets include [NAME ASSET FROM LIST]? |
a. Cash on hand in checking, savings, money market accounts, certificates of deposit and other time deposits
b. Accounts receivable
c. Product inventory
d. Equipment or machinery
e. Land, buildings, and other structures
f. Vehicles
g. Any other business owned property (SPECIFY)
h. Any other assets? (SPECIFY)
f28a_asset_cash_3
f28b_asset_acct_rec | |