Needs/Analysis Form Needs Analysis Survey Business* Business Name Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email Website (If applicable) Type of BusinessAdvertising Decision MakersPhoneHow long have you been in business?What is the primary age group you are trying to reach?What are your business hours?Who are your major competitors? Best months for your business. January February March April May June July August September October November December Best days for your business. Sunday Monday Tuesday Wednesday Thursday Friday Saturday What advertising do you use currently? Radio TV Cable Circulars Paper/Weekly Paper/Daily Shopper Yellow Pages Billboard Magazine Direct Mail Internet Other Do you advertise consistently?YesNoIf so, where?What would be a good day and time to meet in person with you?