Name:_______________________________________________________________________________________

Address: _____________________________________________________________________________________
E-mail :_____________________________________

Date__________________________________________

Section I: General Information/ Business Structure

1.

Is your business primarily home-based? Yes_____

No _____

If not home-based, please enter the following business information:

Business Name:_________________________________________________________________
Business Address:_______________________________________________________________
Business phone:_(____)__________________________________________________________
2.

Is your business full-time or part-time? Full-time____________

3.

What are the business' hours of operation?________________________________________________

4.

Do you have a job in addition to your business?

Yes_________

Part-time_____________

No___________

If yes, please enter the following information:

Job Description/position:_________________________________________________
Name of Employer:______________________________________________________
Address:________________________________________________________________

URL: www.intercampconsulting.com
Email: intercampnigeria@gmail.com
Tel: 2347036883989, 7025422520
Work phone:_(____)______________________________________________________
Name of Supervisor:_____________________________________________________
5.

What is the form of business ownership? Please circle indicate:

Individual (Sole Proprietorship)___________________________________________
Partnership_____________________________________________________________
Corporation ____________________________________________________________

6.

If more than one owner, how many owners are there _______________________________________

7.

Do you have any formal or informal employees?

Yes____ How many?____________________________________________________
What are their responsibilities?____________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________

8.

Is your business registered with the corporate affairs commission?

Yes______

If your answer is no, would you like us to do the registration for you Yes_____
9.

No________
No________

Do you have (or need to obtain) any licenses to conduct this business?
Yes____ No_______
If yes, Please explain_____________________________________________________
_______________________________________________________________________

Section II: Business Description

Part A: General
1. What product or service does your business provide?
A. __________________________________________________________________________________

Intercamp Consulting Confidential

Page 2

URL: www.intercampconsulting.com
Email: intercampnigeria@gmail.com
Tel: 2347036883989, 7025422520
B.___________________________________________________________________________________________
C. ___________________________________________________________________________________________
2. How does your company make its product or how is the service performed? Please be specific:
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
3. Is the business seasonal? _____________________________________________________________________
Why?________________________________________________________________________________________
_____________________________________________________________________________________________
Part B: Target Market & Merchandising Strategy
1. Who are your customers and where are they?
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
2. Where do you sell your products or services?
_____________________________________________________________________________________________
_____________________________________________________________________________________________
3. How many regular customers do you have and how much (N) of your total annual sales do they
represent? ___________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
4. How do you encourage repeat business and attract new customers to do business with you?
Marketing
___________________________________________________________________________________________

Intercamp Consulting Confidential

Page 3

URL: www.intercampconsulting.com
Email: intercampnigeria@gmail.com
Tel: 2347036883989, 7025422520
___________________________________________________________________________________________

Distribution
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
5. How do customers know about your product/service? (Please attach samples of any signs, ads, flyers,
business cards etc.)
Advertising
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
Branding
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
6. What are the weaknesses you believe exist within this industry
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
7. What are the opportunities that exist in this industry?
___________________________________________________________________________________________
___________________________________________________________________________________________

Intercamp Consulting Confidential

Page 4

URL: www.intercampconsulting.com
Email: intercampnigeria@gmail.com
Tel: 2347036883989, 7025422520
___________________________________________________________________________________________
___________________________________________________________________________________________
8. What will be the strength your business will ride on when it commences operation?
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________

9. What do you think are the threats to your business?

___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
10. What are the government policies as regards your business?
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
Part C: Research
1.

Have you carried out any research for your business _______________________________________

2.

What is the scope of the research_________________________________________________________

3.

Did you employ the services of a consulting firm?__________________________________________

4.

If the answer to 1 above is NO, would you like to have a research done_______________________

5.

What is the scope of the research your business needs?_____________________________________

_____________________________________________________________________________________________
Part D: Competition & Pricing
1. Who are your major competitors and where are they?

Intercamp Consulting Confidential

Page 5

URL: www.intercampconsulting.com
Email: intercampnigeria@gmail.com
Tel: 2347036883989, 7025422520
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
2. Why do you think your product/service is better than what is offered by your competition?
_____________________________________________________________________________________________
_____________________________________________________________________________________________
3. How do your prices compare to your major competitors?
____________________________________________________________________________________________
____________________________________________________________________________________________
Part E: Production, Equipment & Technology
1. What are the equipment used in the company and their functions?
a.

_______________________________________________________________________________________

b.

_______________________________________________________________________________________

c.

_______________________________________________________________________________________

d. _______________________________________________________________________________________
e.

_______________________________________________________________________________________

f.

_______________________________________________________________________________________

g.

_______________________________________________________________________________________

2. Briefly Explain the production process________________________________________________________

__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________

Intercamp Consulting Confidential

Page 6

URL: www.intercampconsulting.com
Email: intercampnigeria@gmail.com
Tel: 2347036883989, 7025422520
3. What technology will be used?_______________________________________________________________
4. What are the regulations required to be met for production? _____________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
5. List the regulatory bodies for technology and production?
a.

______________________________________________________________________________________

b.

_______________________________________________________________________________________

c.

_______________________________________________________________________________________

Part F: Financial Information

1. What is the level of business records kept for your business (financial statements etc.)? Choose from (1
to 4) below ___________________________________________________________________________________
(1= No formal records; 2= some written records; 3=some regular reports; 4= Professional/Accountant)
2. What is your method of employee compensation?
A. Salary____

B. Wages____ C. Commission____

D. Salary + Commission____

3. Have you previously received a loan or credit for your business?

Yes_____________________________ How much did you loan? N___________________________________
Lender_______________________________________________________________________________________
What was the loan used for? ___________________________________________________________________
No____
4. How much of your own money have you invested in the business over the last year (if applicable), and
how much do you plan to invest over the next year?
_____________________________________________________________________________________________

Intercamp Consulting Confidential

Page 7

URL: www.intercampconsulting.com
Email: intercampnigeria@gmail.com
Tel: 2347036883989, 7025422520
_____________________________________________________________________________________________
5. Where do you get supplies/ materials for the business?
_____________________________________________________________________________________________
_____________________________________________________________________________________________
6. How do you pay for the supplies/ materials? Please circle all that apply:
Cash

Credit

Credit & Cash

Other (please specify)_______________________

7. Does the business currently have inventory?

Yes____ If yes, about how much inventory do you have? N_________________________________________
No ____
8. What are your sales in the best month(s)? N______________________________ Month(s)______________
9. What are your sales in the worst month(s)?N_____________________________ Month(s)______________

Section III: Owners' Experience

1. How long have you been operating this business? _______________________________________________
2. How many owners / shareholders does the company have? ______________________________________
3. List their positions (in order of relevance and size of shares) and roles as seen below:
Share holder 1: Position in the company? ______________________________________________________
Roles in the company? Please list them
a. ___________________________________________________________________________________
b. ___________________________________________________________________________________
c. ___________________________________________________________________________________
d. ___________________________________________________________________________________
Share holder 2: Position in the company? ______________________________________________________
Roles in the company? Please list them

Intercamp Consulting Confidential

Page 8

URL: www.intercampconsulting.com
Email: intercampnigeria@gmail.com
Tel: 2347036883989, 7025422520
a. ___________________________________________________________________________________
b. ___________________________________________________________________________________
c. ___________________________________________________________________________________
d. ___________________________________________________________________________________
Share holder 3: Position in the company? ______________________________________________________
Roles in the company? Please list them
a. ___________________________________________________________________________________
b. ___________________________________________________________________________________
c. ___________________________________________________________________________________
d. ___________________________________________________________________________________
Share holder 4: Position in the company? ______________________________________________________
Roles in the company? Please list them
a. ___________________________________________________________________________________
b. ___________________________________________________________________________________
c. ___________________________________________________________________________________
d. ___________________________________________________________________________________
4. What changes is your business going through at this time? Are you refocusing and why?
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
5. Why do you need a business plan?
Funding

Operations

Funding & Operations Others (Please specify) ______________________

6. Have you ever had a business plan done for your company? _____________________________________

Intercamp Consulting Confidential

Page 9

URL: www.intercampconsulting.com
Email: intercampnigeria@gmail.com
Tel: 2347036883989, 7025422520
When________________________________________________________________________________
For what purpose?_____________________________________________________________________

Section IV. Personal and Business Financial Worksheet

Average Monthly Personal Information
Income
Salary from Business N________
Spouses Income N ____________
Family members ____________
Public Assistance _____________
TOTAL AVERAGE N

AVERAGE MONTHLY N

MONTHLY INCOME N____________ BUSINESS INCOME N_______________

Expense
Health Insurance N________
Education Expenses ___________
Food __________
Childcare ____________
Cable TV ____________
Money sent to relatives ____________
Monthly savings _________
Rent ____________ _________________
Utilities (Gas & Elec) _____________ _________________
Telephone _____________ _________________
Personal Insurance _____________ _________________

Intercamp Consulting Confidential

Page 10

URL: www.intercampconsulting.com
Email: intercampnigeria@gmail.com
Tel: 2347036883989, 7025422520
Transportation costs _____________ _________________
Credit Card Payments _____________ _________________
Loan Payments _____________ _________________
Other:____________ _____________ _________________
Other:____________ _____________ _________________
Other:____________ _____________ _________________
Your Monthly Salary from your business _________________
Employees' Salaries _________________
Materials/Supplies _________________
Equipment/ Tools ________________
Advertising _________________
Taxes _________________
Other:____________ _________________
TOTAL AVERAGE TOTAL AVERAGE MONTHLY
MONTHLY EXPENSES N________________
BUSINESS EXPENSES N_____________
INCOME - EXPENSES N________________
PROFIT/LOSS N_____________

Intercamp Consulting Confidential

Page 11