Pre-Consulting Questionnaire
This questionnaire is designed to give us some background on your company and allow us to understand your rationale for wanting to share equity with your employees. It will help us be more prepared to suggest a strategy that will satisfy your goals and objectives. All information will be kept strictly confidential and not shared with any outside parties. For more information about the Beyster Institute, visit
rady.ucsd.edu/centers/beyster
.
Contact Information
First Name
Last Name
Job Title
Company Name
Specific Industry
Please select...
Accounting
Airlines/Aviation
Alternative Dispute Resolution
Alternative Medicine
Animation
Apparel & Fashion
Architecture & Planning
Arts and Crafts
Automotive
Aviation & Aerospace
Banking
Biotechnology
Broadcast Media
Building Materials
Business Supplies and Equipment
Capital Markets
Chemicals
Civic & Social Organization
Civil Engineering
Civil Service
Commercial Real Estate
Computer & Network Security
Computer Games
Computer Hardware
Computer Networking
Computer Software
Construction
Consumer Electronics
Consumer Goods
Consumer Services
Cosmetics
Dairy
Defense & Space
Design
Diplomatic Service
Education
Education Management
E-Learning
Electrical/Electronic Manufacturing
Entertainment
Environmental Services
Events Services
Executive Office
Facilities Services
Farming
Financial Services
Fine Art
Fishery
Food & Beverages
Food Production
Foundations
Fund-Raising
Furniture
Gambling & Casinos
Glass, Ceramics & Concrete
Government – Central
Government – Local
Government Administration
Government Relations
Graphic Design
Health, Wellness and Fitness
Higher Education
Hospital & Health Care
Hospitality
Human Resources
Human Rights
Import and Export
Individual & Family Services
Industrial Automation
Information Services
Information Technology and Services
Insurance
International Affairs
International Organizations
International Trade and Development
Internet
Investment Banking
Investment Management
Judiciary
Law Enforcement
Law Practice
Legal Services
Legislative Office
Leisure, Travel & Tourism
Libraries
Logistics and Supply Chain
Luxury Goods & Jewelry
Machinery
Management Consulting
Maritime
Market Research
Marketing and Advertising
Mechanical or Industrial Engineering
Media Production
Medical Devices
Medical Practice
Mental Health Care
Military
Mining & Metals
Motion Pictures and Film
Museums and Institutions
Music
Nanotechnology
Newspapers
Nonprofit Organization Management
Oil & Energy
Online Media
Outsourcing/Offshoring
Package/Freight Delivery
Packaging and Containers
Paper & Forest Products
Performing Arts
Pharmaceuticals
Philanthropy
Photography
Plastics
Political Organization
Primary/Secondary Education
Printing
Professional Training & Coaching
Program Development
Public Policy
Public Relations and Communications
Public Safety
Publishing
Railroad Manufacture
Ranching
Real Estate
Recreational Facilities and Services
Religious Institutions
Renewables & Environment
Research
Restaurants
Retail
Security and Investigations
Semiconductors
Shipbuilding
Sporting Goods
Sports
Staffing and Recruiting
Supermarkets
Telecommunications
Textiles
Think Tanks
Tobacco
Translation and Localization
Transportation/Trucking/Railroad
Utilities
Venture Capital & Private Equity
Veterinary
Warehousing
Wholesale
Wine and Spirits
Wireless
Writing and Editing
Your Role
Please select...
Founder
Owner
Partner
C-level
VP-level
Other
Email
Phone
Website
Street Address
City
Country
Please select...
United States
Canada
State
Please select...
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
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Puerto Rico
Virgin Island
Northern Mariana Islands
Guam
American Samoa
Palau
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Nova Scotia
Northwest Territories
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon Territories
ZIP/Postal Code
Business Information
Year Established
Corporate Structure
Please select...
C-Corp
S-Corp
LLC
LLP
Partnership/Sole Proprietor
Non-profit
Number of Employees
Please select...
1-10
11-20
21-30
31-50
51-75
76-100
101-150
151-200
201-250
251-400
401-750
greater than 750
Last Year's Revenues
$
Please select...
Less Than $5 Million
$5-$10 Million
$10-$20 Million
$20-$30 Million
$30-$40 Million
$40-$50 Million
$50-$75 Million
$75-$100 Million
$100-$200 Million
Greater Than $200 Million
Estimated Market Value of Your Company
Please select...
Less Than $5 Million
$5-$10 Million
$10-$20 Million
$20-$35 Million
$35-$50 Million
$50-$75 Million
$75-$100 Million
$100-$150 Million
Greater Than $150 Million
Equity methods of particular interest
Employee Stock Ownership Plan (ESOP)
Stock Options
Stock Purchase Plan
Stock Grants
Synthetic Equity
I Don't Know
Describe why you are interested in a program of employee ownership (select all that apply)
Business Succession
Employee Benefit
Tax Advantages
Raise Capital
Other
Current shareholders and percentages of ownership for each
Please detail any other initial questions or comments you may have
Referral
Please select...
Advisor
Employee Referral
Event
Former Client
Organization
Web Search
Website
Other
Referred By
Email Subscription Preferences
Please confirm your preferences for the following email lists.
Beyster Events
Please select...
Subscribed
Opted Out
Stay informed of upcoming webinars, courses, and other programs, as well as
employee ownership issues and activities.
Contact Information