Name

Email Address

Phone Number We will contact you by email first to schedule a call if we need to speak with you.

Business Name Enter the business name used on your Directory Listing.

Overall Site Appeal Overall Site Appeal 1 - Poor 2 - Alright 3 - Indifferent 4 - Liked 5 - Great

Overall Site Layout Overall Site Layout 1 - Poor 2 - Alright 3 - Indifferent 4 - Liked 5 - Great

Visual Appeal of the Site Visual Appeal of the Site 1 - Poor 2 - Alright 3 - Indifferent 4 - Liked 5 - Great

Did you find navigating the site easy? Did you find navigating the site easy? 1 - Not at all 2 - Somewhat difficult 3 - Neutral 4 - Easy 5 - Very Easy

Additional Comments About Visual Styles

Did you find it easy to sign-up? Did you find it easy to sign-up? 1 - Not at all 2 - Somewhat difficult 3 - Neutral 4 - Easy 5 - Very Easy

Did you find the checkout process easy? Did you find the checkout process easy? 1 - Not at all 2 - Somewhat difficult 3 - Typical 4 - Easy 5 - Very Easy

Did you find your account dashboard easy to navigate? Did you find your account dashboard easy to navigate? 1 - Not at all 2 - Somewhat difficult 3 - Neutral 4 - Easy 5 - Very Easy

Did you find it easy to edit your account profile? Did you find it easy to edit your account profile? 1 - Not at all 2 - Somewhat difficult 3 - Neutral 4 - Easy 5 - Very Easy

Additional Comments About Account Creation

Did you find it easy to create your Business Listing? Did you find it easy to create your Business Listing? 1 - Not at all 2 - Somewhat difficult 3 - Neutral 4 - Easy 5 - Very Easy

Was the Listing Form easy to understand? Was the Listing Form easy to understand? 1 - Not at all 2 - Somewhat difficult 3 - Neutral 4 - Easy 5 - Very Easy

Was the Listing Form easy to use? Was the Listing Form easy to use? 1 - Not at all 2 - Somewhat difficult 3 - Neutral 4 - Easy 5 - Very Easy

After you created your Listing, was it easy to edit it again? After you created your Listing, was it easy to edit it again? 1 - Not at all 2 - Somewhat difficult 3 - Neutral 4 - Easy 5 - Very Easy I didn't go back and edit it.

Do you like the way your Listing is presented to the user? Do you like the way your Listing is presented to the user? 1 - Not at all 2 - Somewhat 3 - Neutral 4 - Like 5 - Love It

Please check your Map Location, is it correct? Please check your Map Location, is it correct? Yes No Not applicable

Did you have any problems submitting the Listing Form? Did you have any problems submitting the Listing Form? No Yes

About how long did the whole process take you to complete? About how long did the whole process take you to complete? Less than 15 min. Between 15 - 30 min. Between 30 -60 min. More than 60 min.

Additional Comments About Business Listing Creation

Perceived Value Perceived Value As a business owner do you see value in this platform for helping people find you and/or as a resource during a time of emergency? Everyday Value Emergency Resource Value Both Neither

Your Feedback:

Features On Other Platforms Please tell us if there are features on another platform that you think would be beneficial to this platform.

What Would You Remove or Change Please tell us if there is anything you would remove or change on the platform.

Member Decal Member Decal Would you display a small member decal at your business location? Yes No

Advisory Board Advisory Board Would you like to be included as a member on the Advisory Board? Yes No