Please fully complete the
CONFIDENTIAL
Gap Analysis Form.
Contact Information
Name of Company:
*
Owner:
*
Address:
*
Address 2:
City
*
State:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
*
Zip:
*
Phone:
*
Fax:
Email:
*
Website:
Type of Business:
*
Years in Business:
*
Annual Sales:
*
* = denotes a requried field
MANAGEMENT AND OPERATIONS
1. Why did you start your business?
2. What service or product does your company provide to its customers?
3. Select company structure:
Corporation
Sole Proprietorship
Partnership
Other
4. Are there other owners and, if so, what are their names?
5. If a corporation, do you have a board of directors?
Yes
No
6. Do you have a current Organization Chart?
Yes
No
7. How many positions do you directly supervise?
8. Do you have completed and accurate position descriptions?
Yes
No
9. Do you have written standards of performance for each position in your company?
Yes
No
10. Do you have established performance and compensation reviews?
Yes
No
11. How often do your employees receive performance reviews?
12. Do you have a Personnel Policy manual?
Yes
No
13. Do you have written company goals and plans for the future of the company?
Yes
No
14. Do your managers support your company goals?
Yes
No
15. What was your employee turnover rate last year?
16. Do you have regular management meetings to review plans?
Yes
No
17. Are procedures clearly documented for all departments?
Yes
No
18. Do you have established training for all new employees?
Yes
No
19. Do you receive regular management reports?
Yes
No
20. Of your employees, how many are in:
a. Sales:
b. Finance & Administration:
c. Operations:
21. How many employees are supervisors or managers?
22. What do you consider to be your biggest business problem?
23. Who are your key people and what are their titles and incomes?
Name
Title
Income
Yrs. w/Co.
MARKETING & SALES
1. Do you have a well-defined marketing plan?
Yes
No
2. Is your marketing plan based on current research?
Yes
No
3. Do you have an orchestrated sales process?
Yes
No
4. How are your sales personnel compensated?
5. Do you get monthly sales reports?
Yes
No
6. Do these reports give you the information you need?
Yes
No
7. What is unique about the manner in which you market your products/services?
8. How often do you review your pricing policy?
9. What is your Positioning Strategy for your marketing plan?
FINANCE
1. Do you have a Profit & Loss Statement (P&L) and Balance Sheet prepared monthly?
Yes
No
a. Are they accurate?
Yes
No
2. Do you understand your financial statements?
Yes
No
3. What is your percent net profit goal for this fiscal year?
a. Are you on target?
Yes
No
4. Do you have an accountant?
Yes
No
5. Do you operate with an annual budget?
Yes
No
6. Do you have a planned operating profit built into your annual budget?
Yes
No
7. How do you process your payroll (e.g., in-house, payroll service, other)?
8. What is the average amount of your monthly payroll?
9. Are you current with your federal and state taxes?
Yes
No
10. Do you have a cash management system?
Yes
No
11. Do you project each month's sales before the fiscal year begins?
Yes
No
12. Do you update your annual and monthly sales projections each month?
Yes
No
13. How soon after the end of each month do you see your Financial Statements?
14. Do you prepare an analysis of standard performance ratios each month?
Yes
No
15. Do you have a budget variance report prepared each month?
Yes
No
16. What amounts of accounts receivable are currently overdue?
30-60 days
$
60-90 days
$
90+ days
$
17. Have you had to access a credit line to meet payables or payroll obligations this year?
Yes
No
18. Do you maintain an accurate cashflow projection?
Yes
No
19. At the end of the last fiscal year,
What were your total assets?
$
What were your total liabilities?
$
What was your net worth?
$
20. Do you have sufficient working capital to obtain the equipment you need?
Yes
No
SELF-MANAGEMENT
1. Are your personal goals clear to you?
Yes
No
2. How often do you review them?
3. How many hours do you work for your company each week?
4. What percent of your time do you spend?
Selling
Managing
Planning
Attended meetings
Reviewing reports and financial data
Dealing with personal problems
Doing technical work
Other
5. In the past three years, how many days did you take off from work for vacation?
Year One:
Year Two:
Year Three:
6. What was the longest vacation you have taken in the past three years?
7. Is your personal income sufficient to meet your desired standard of living?
Yes
No
8. Do you have a clear picture of how you want your business to look?
Yes
No
9. Do you believe your business is organized?
Yes
No
10. Do you currently have an effective means of tracking your work?
Yes
No
11. Is most of your time planned?
Yes
No
WHAT ARE YOUR GOALS AND OBJECTIVES?
What would you like your company to become in the next 3 to 5 years?
What are the major obstacles standing in your way?
If the business were operating just as you describe it, what would you get out of it?
What would be your role in the business?