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Telephone 01322 555 442 or email office@clinkerlittle.com

94 London Road, Crayford, Kent, DA1 4DX

Personal Information
Last Name
First Name
Street Address
City
County
Post Code
Home Phone
Fax Number
Mobile Number
Other Information
Business Information
Business Name
Type of Business
Business Address
Name of Bank
How Long Have You Been In Business	Please select.... Under 1 year Between 1 and 5 years Over 5 years
How Many Directors/Partners	Only 1 Between 2 and 5 More than 5
Service Related Questions
Why are you contacing Clinker Little	Need a new Accountant Business Advice Want help to grow my business All of the above
What do you most expect from your Accountant?	Reliable Service Clear Fee Structure Professional Advice Access when required All of the above
What DON'T you like about dealing with your current Accountant/firm?
What DO you like about dealing with your current Accountant/firm?
Please rate your Company's strengths in the following areas, using a 5 point scale with 1 = poor and 5 = superior:
Overall Vision/Misson/Strategy?	Please select.... 1 2 3 4 5
Finance/Cash Flow/Banking?	Please select.... 1 2 3 4 5
Sales and Marketing?	Please select.... 1 2 3 4 5
Administration?	Please select.... 1 2 3 4 5
Leadership?	Please select.... 1 2 3 4 5
Succession Planning or Exit Strategy?	Please select.... 1 2 3 4 more than 5
What keeps you awake at night about your business?
How did you learn of Clinker Little?	Internet Refferal Direct Mail Seminar