Thank you for you interest in completing our “Entrepreneur Test.” As part of my initial research, I surveyed more than 1,500 entrepreneurs; it is their responses that you will read about in “The Entrepreneur Next Door” when it is released this coming June.

We are continuously improving our methods of research and conducting additional studies. If you are willing, I would appreciate your answering the following demographic questions prior to completing your “Entrepreneurship Aptitudes Test.” In exchange for this information, you will be eligible to win one of 10 autographed copies of the book “The Entrepreneur Next Door”.

If you aren’t interested in taking part of our future research, simply go to the bottom of this page and hit “submit” to access the test.

Thank you,

Bill Wagner

Would you be willing to be interviewed for future books or articles?

yes no

As part of our ongoing research, we are looking for those who are interested in participating in future studies. Would you be willing to take additional surveys?

yes no

Would you be willing to review a chapter of this upcoming book "The Entrepreneur Next Door?" (if so, we would expect you to provide us with a few of your thoughts and impressions)?

yes no

Would you like to be notified when the book is released so that you may add it to your reading list?

yes no

Would you be interested in purchasing an autographed copy?

yes no

Are you currently involved in the running or operating of a business?

yes no

Were you the founder of this business?

yes no

What are your annual revenues?

----------------------------------------------------------------- Less than $100,000 year $100,000 to $500,000 $500,000 to $1,000,000 $1,000,000 to $5,000,000 Greater than $5,000,000

There are a number of leadership Peer to peer groups.  Would you like to be contacted regarding one of these local peer groups?

yes no

How long have you been involved with this endeavor?

----------------------------------------------------------------- Less than 1 year 1 to 3 years 4 to 6 years 7 to 10 years More than 10 years

How many employees does your company have on the payroll?

----------------------------------------------------------------- Less than 10 employees 11 to 20 employees 21 to 50 employees 51 to 100 employees 101 to 500 employees More than 500 employees

Do you use any form of employee testing within your company?

yes no not sure

Now a few questions about you:

First name:

Last name:

Gender

male female

Year of birth:

E-mail:

Phone:

State/Province:

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