[Name]

Client Questionnaire

 

OUR MISSION STATEMENT

 

[ Mission Statement]

 

Thank you for taking the time to complete the following client questionnaire.  Please return the questionnaire to us in the self-addressed, stamped envelope provided.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Directions: 

Place a checkmark in the box next to each item that best describes your needs and/or how we are doing as your business advisors.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1.

 

How can [Firm Name] professionals continue to add value to the current services we provide

 

 

you and your business?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

a.

Technology consulting including E-commerce; Web page, Intranet, Extranet, design

 

 

 

 

maintenance or management; disaster recovery; electronic delivery of business information;

 

 

 

 

Internet service provision; or other areas of technology consulting

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

b.

Personal financial planning; estate planning; wealth transfer; risk management; retirement planning;

 

 

 

 

tax planning; education and other special goals funding

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

c.

Human resources management and consulting; employee recruitment; performance measurements;

 

 

 

 

strategic and /or long range planning and development

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2.

 

What business plans are you contemplating that [Firm Name] professionals can assist you with

 

 

developing and/or implementing?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

a.

Global or domestic expansion or reduction of business

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

b.

Mergers and/or acquisition strategies and planning

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

c.

Development of competitive programs to compete for skilled employees including wage and

 

 

 

 

salary programs, key employee benefits programs and recruitment techniques

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

d.

How to take advantage of forming strategic alliances to reduce costs

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3.

 

How can we at [Firm  Name] maximize our effectiveness in addressing your needs?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

a.

Increased levels of communication

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

b.

Attendance at your business planning meetings, retreats or board meetings

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

c.

Offering of more educational programs and seminars on a variety of topics

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

d.

Providing a wider referral network for you and your business

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4.

 

Please rate us on our service quality and delivery by placing a checkmark in the box that

 

 

best describes your view, with 5 being excellent and 1 being below average.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

A.

Service Quality

 

 

 

 

 

 

N/A

1

2

3

4

5

 

 

 

 

 

1

Tax returns

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2

Financial statements

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3

Tax planning and advice

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4

Business planning

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5

Technology consulting

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

B.

Service Delivery

 

 

 

 

 

 

N/A

1

2

3

4

5

 

 

 

 

 

1

We keep you informed of the progress of the project

 

 

 

 

 

 

 

 

 

 

 

 

 

2

We communicate clearly and involve you in key issues

 

 

 

 

 

 

 

 

 

 

 

 

3

We have been helpful in providing innovative ideas and creative solutions

 

 

 

 

 

 

 

 

 

 

 

 

4

We return your telephone calls promptly

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5

We are responsive to your requests

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6

We keep our promises with respect to deadlines

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7

Our staff is accessible to you and your staff