ON–SITE VISIT FORM PAGE 8
To be filled out by the interviewer — Information is confidential 1.4.17
COMPANY: Click here to enter text. / City/State/ZIP: Click here to enter text.Date of Visit: Click here to enter a date. / Survey Collected By: Click here to enter text.
Contact Name: Click here to enter text. / Assisted By: Click here to enter text.
Appointment: Click here to enter text. / Other Participants: Click here to enter text.
PRODUCT/SERVICE
1. What is your company’s greatest achievement in the last three years? Click here to enter text.
2. Do you serve any special market niches or produce any customized products/services from this location? / ☐ Yes ☐ No
If yes, please explain: Click here to enter text.
3. What type of businesses/products are your customers looking for that they are not finding in this community? Click here to enter text.
4. Does your company have any difficulty securing needed business services in the area? / ☐ Yes ☐ No
If yes, what services? Click here to enter text.
5. Have there been any changes in distributor/supplier relationships that have negatively impacted your business in the last two (2) years? / ☐ Yes ☐ No
Comments? Click here to enter text.
Are any distributor/supplier changes anticipated? / ☐ Yes ☐ No
Comments? Click here to enter text.
6. Last year’s Gross Sales: Choose an item.
7. What is your approximate trade area in miles for the majority of your sales: Choose an item.
8. Are total sales for your operations: / ☐ Increasing ☐ Stable ☐ Decreasing
What is the primary influence? Click here to enter text.
9. Is your company doing any government contracting work? ☐ Yes ☐ No
10. If yes, what type of government contracting work is your company doing? Click here to enter text.
If no, would you be interested in exploring contracting opportunities? ☐ Yes ☐ No
11. Does the company plan to expand or renovate this facility in the next three years? / ☐ Expand ☐ Renovate ☐ None
If yes, Estimated investment
Estimated percentage-aesthetic
Estimated percentage-equipment/technology
Estimated percentage-structural
Estimated facility size increase (if any)
Estimated number of jobs added or lost (-)
Approximate date of improvements / $ Click here to enter text.
Click here to enter text. %
Click here to enter text. %
Click here to enter text. %
Click here to enter text. sq. ft.
Click here to enter text. FTE
Click here to enter a date. / FTE = Full Time Equivalent
12. Do you plan to open an additional location(s) in the next two (2) years? / ☐ Yes ☐ No
Comments: Click here to enter text.
Overall Satisfaction with present location? ☐ Very Satisfied ☐Somewhat Satisfied ☐ Dissatisfied
If not Very Satisfied, why? Click here to enter text.
MARKETING
13. Is the company’s advertising/promotion budget? / ☐ Increasing ☐ Stable ☐ Decreasing ☐ None
14. Does your company invest time/money in a cooperative marketing effort (advertising, events, promotions, etc.) with other area businesses? / ☐ Yes ☐ No
Comments? Click here to enter text.
15. Does your business give back to the community? To what local organizations? Click here to enter text.
Marketing Notes
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MANAGEMENT
16. In the past 18 months has the company’s ownership or senior management changed or are changes expected?
Changed ownership/senior management / ☐ Yes ☐ No
Planned Change / ☐ Yes ☐ No
Comments? Click here to enter text.
17. Has the local manager changed or is a change expected? / ☐ Yes ☐ No
Comments? Click here to enter text.
18. Is the owner or one of the owners involved in the day-to-day operations of the business? / ☐ Yes ☐ No
Management Notes
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WORKFORCE
Low 1 2 3 4 5 6 7 High
19. How do you rate the availability of workers in this area: / ☐ / ☐ / ☐ / ☐ / ☐ / ☐ / ☐
How do you rate the quality of the workforce in this area: / ☐ / ☐ / ☐ / ☐ / ☐ / ☐ / ☐
How do you rate the stability of the workforce in this area: / ☐ / ☐ / ☐ / ☐ / ☐ / ☐ / ☐
How would you rate productivity in this facility: / ☐ / ☐ / ☐ / ☐ / ☐ / ☐ / ☐
20. Are projected employment needs for this facility: / ☐ Increasing ☐ Stable ☐ Decreasing
21. Is the number of unfilled positions: / ☐ Increasing ☐ Stable ☐ Decreasing
Approximate number of unfilled positions today: Click here to enter text.
What positions are most difficult to fill and why? Click here to enter text.
22. What percent of your employees live in Longmont?Click here to enter text.%
23. Where are employees not living in Longmont commuting from?Click here to enter text.
24. Does the business provide any of the following benefits? / ☐ Health Insurance ☐ Pension
☐ 401K/Profit Sharing ☐ Vacation
☐ Sick Leave ☐ Flexible Hours
☐ None
If benefits: ☐ Full time ☐ Part-time ☐ Both
If health benefits, what percentage of health benefit are covered by the employer?
Individual: Click here to enter text. % Family: Click here to enter text. %
Comments? Click here to enter text.
25. Is company investment in employee training: / ☐ Increasing ☐ Stable ☐ Decreasing ☐ None
Type of Training: Click here to enter text.
Workforce Notes
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TECHNOLOGY
26. Is there new technology emerging that will substantially change your company's business? / ☐ Yes ☐ No
Comments: Click here to enter text.
27. Is the community’s technology infrastructure adequate for your company’s growth plan? / ☐ Yes ☐ No
Comments: Click here to enter text.
Technology Notes
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COMMUNITY SERVICES
28. What are the community’s strengths as a place to do business? Click here to enter text.
29. What are the community’s weaknesses as a place to do business? Click here to enter text.
30. Have there been any changes in the community or neighborhood impacting your business in the last two (2) years (demographic, physical, competition)? / ☐ Yes ☐ No
Comments: Click here to enter text.
[Interviewer: Is the comment about: Choose an item. Was the comment: Choose an item.]
31. Do you anticipate any community or neighborhood changes? / ☐ Yes ☐ No
Comments: Click here to enter text.
[Interviewer: Is the comment about: Choose an item. Was the comment: Choose an item.]
32. Key Challenges to Growth?Click here to enter text.
33. Do you anticipate any federal, state, or local legislation changes that will adversely affect your business in the next five years: / ☐Yes ☐ No
If yes, what changes? Click here to enter text.
How will they affect the company? Click here to enter text.
34. Do you anticipate any federal, state, or local legislation changes that will benefit your business inthenext five years: / ☐Yes ☐ No
If yes, what changes? Click here to enter text.
How will they affect the company? Click here to enter text.
Community Notes
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COMMUNITY SERVICE
35. Please rate the quality of the following services provided by/in the community on a scale of 1 to 7.
Low / 1 / 2 / 3 / 4 / 5 / 6 / 7 / High
A) Police protection / ☐ / ☐ / ☐ / ☐ / ☐ / ☐ / ☐
B) Fire protection / ☐ / ☐ / ☐ / ☐ / ☐ / ☐ / ☐
C) Ambulance paramedic service / ☐ / ☐ / ☐ / ☐ / ☐ / ☐ / ☐
D) Streetscape maintenance / ☐ / ☐ / ☐ / ☐ / ☐ / ☐ / ☐
E) Streets and roads (local) / ☐ / ☐ / ☐ / ☐ / ☐ / ☐ / ☐
F) Highways (state/federal) / ☐ / ☐ / ☐ / ☐ / ☐ / ☐ / ☐
G) Traffic control / ☐ / ☐ / ☐ / ☐ / ☐ / ☐ / ☐
H) Public transportation / ☐ / ☐ / ☐ / ☐ / ☐ / ☐ / ☐
I) Airline passenger service / ☐ / ☐ / ☐ / ☐ / ☐ / ☐ / ☐
J) Health care services / ☐ / ☐ / ☐ / ☐ / ☐ / ☐ / ☐
K) Child care services / ☐ / ☐ / ☐ / ☐ / ☐ / ☐ / ☐
L) Community college/tech college / ☐ / ☐ / ☐ / ☐ / ☐ / ☐ / ☐
M) College(s) and university(ies) / ☐ / ☐ / ☐ / ☐ / ☐ / ☐ / ☐
N) Housing / ☐ / ☐ / ☐ / ☐ / ☐ / ☐ / ☐
O) Schools (K–12) / ☐ / ☐ / ☐ / ☐ / ☐ / ☐ / ☐
P) Property tax assessment (fair & equitable) / ☐ / ☐ / ☐ / ☐ / ☐ / ☐ / ☐
Q) Zoning changes and building permits / ☐ / ☐ / ☐ / ☐ / ☐ / ☐ / ☐
R) Regulatory enforcement (fair & equitable) / ☐ / ☐ / ☐ / ☐ / ☐ / ☐ / ☐
S) Sign regulations / ☐ / ☐ / ☐ / ☐ / ☐ / ☐ / ☐
T) Community planning / ☐ / ☐ / ☐ / ☐ / ☐ / ☐ / ☐
U) Chamber of Commerce / ☐ / ☐ / ☐ / ☐ / ☐ / ☐ / ☐
V) Main Street Organization / ☐ / ☐ / ☐ / ☐ / ☐ / ☐ / ☐
W) Economic Development Organization / ☐ / ☐ / ☐ / ☐ / ☐ / ☐ / ☐
X) Workforce Services / ☐ / ☐ / ☐ / ☐ / ☐ / ☐ / ☐
For any community services with satisfaction rated low 1,2, 3 or high 5, 6, 7 please comment:
Service comment 1
Choose an item. / Low/High Rank Comment 3: (Interviewer: Choose an item.)
Click here to enter text.
Service comment 2
Choose an item. / Low/High Rank Comment 3: (Interviewer: Choose an item.)
Click here to enter text.
Service comment 3
Choose an item. / Low/High Rank Comment 3: (Interviewer: Choose an item.)
Click here to enter text.
Community Service Notes
Click here to enter text.
UTILITY SERVICES
36. Please rate your satisfaction with your utility services.
Type of Utility / Low / 1 / 2 / 3 / 4 / 5 / 6 / 7 / High
A) Water / ☐ / ☐ / ☐ / ☐ / ☐ / ☐ / ☐
B) Sewer / ☐ / ☐ / ☐ / ☐ / ☐ / ☐ / ☐
C) Solid waste removal / ☐ / ☐ / ☐ / ☐ / ☐ / ☐ / ☐
D) Natural gas / ☐ / ☐ / ☐ / ☐ / ☐ / ☐ / ☐
E) Electric / ☐ / ☐ / ☐ / ☐ / ☐ / ☐ / ☐
F) Telecom (voice) / ☐ / ☐ / ☐ / ☐ / ☐ / ☐ / ☐
G) Cellular service / ☐ / ☐ / ☐ / ☐ / ☐ / ☐ / ☐
H) Internet access / ☐ / ☐ / ☐ / ☐ / ☐ / ☐ / ☐
I) Internet speed / ☐ / ☐ / ☐ / ☐ / ☐ / ☐ / ☐
For any utility services with satisfaction rated low 1,2, 3 or high 5, 6, 7 please comment:
Utility service comment 1
Choose an item. / Low/High Rank Comment 1: (Interviewer: Choose an item.)
Click here to enter text.
Utility service comment 2
Choose an item. / Low/High Rank Comment 2: (Interviewer: Choose an item.)
Click here to enter text.
Utility service comment 3
Choose an item. / Low/High Rank Comment 3: (Interviewer: Choose an item.)
Click here to enter text.
Utility Notes
Click here to enter text.
LONGMONT EDP SERVICES
37. Is your company aware of the services and programs offered by the Longmont EDP to assist your business? (Real Estate Database, Incentives, Resource connecting, Small Business assistance, etc.): / ☐ Yes ☐ No
If no, would you like to receive information on the services provided? ☐ Yes ☐ No
38. Do you have any final comments you would like to share?
Click here to enter text.
Thank you for your assistance!
The information provided in this update is VERY important in identifying areas where the Longmont Economic Development Partnership can assist you and your company in doing business and being successful in the Longmont area.
ALL INFORMATION CONTAINED HEREIN IS CONFIDENTIAL AND WILL BE REPORTED IN
AGGREGATE FORM ONLY.
NOTE: CITY COMMENTS ARE SHARED CONFIDENTIALLY WITH TOP CITY MANAGEMENT IN AN EFFORT TO RESOLVE ISSUES RELATING TO PRIMARY EMPLOYERS.
Synchronist Chamber/Main Street® Local Retail and Service Companies
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