CIDA Questionnaire
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About our Company
PASS report
Comparative Industry Data and Analysis Report
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Offering Profit Maximization Strategies for Private Business Owners
Information that you provide about your company in the following questionnaire will be used to prepare your CIDA Report, comparing your business against SIC Code data for your industry. This analysis will give you valuable information about the financial performance of your company and what you can do to improve your effectiveness in a number of areas. In order to get the most benefit, it is essential that you provide accurate and complete answers to the following questions. Your information is held in the strictest confidence. If you have questions, you may call 1-216-496-4001 during normal business hours 9 a.m. - 5 p.m. EST Monday through Friday.
Company Information
 
Company Name:
Street Address:
Street Address Continued:
City:
State:
Zip/Postal Code:
Email:
Annual Sales Range:
Telephone with Area Code:
Name and Title of Contact:
   
Industry
1. Please describe your industry in as much detail as possible.
   
Income Statement
Enter financial data as of the end of the period we are evaluating. If you do not have any of the data requested, simply leave the corresponding field blank or copy your financial statements and send them along.
  Current Period Prior Period
2. Sales (Income):
3. Cost of Sales (COGS):
4. Depreciation and Amortization:
5. Interest Expense:
6. Net Profit Before Taxes:
7. Excess Owners Compensation:
8. Net Income:
 
Balance Sheet
Enter financial data as of the end of the period you are evaluating. If you do not have any of the data requested, simply leave the corresponding field blank or copy your financial statements and send them along.
Current Period Prior Period
9.  Cash (Bank Funds):
10. Accounts Receivable:
11. Inventory:
12. Total Current Assets:
13. Gross Fixed Assets:
14. Total Assets:
15.  Accounts Payable:
16.  Total Current Liabilities:
17. Total Liabilities:
18. Employees + Contractors (FTE)1:
Note: If dollar amounts are in thousands, then number of employees + contractors must be also.
   
Additional Information
Please answer the following questions:
19.
 What accounting method does the company use?
Accrual Basis
Cash Basis
Don't Know
20.
 The financial data that you entered is from:
Financial Statements
Tax Returns
 
21.
 The current period financial data that you entered is from:
 
2006
2005
2004
   
Discovery Questionnaire
Goal / Objectives  
The CIDA report is a summary financial assessment in plain language that can help clarify your financial statements so we can work together more effectively to help you reach your goals. Let’s start with what your financial goals are and if you do not know, then what are of the objectives you hope to achieve with the PASS report. Be as candid as you can. If you don’t know the answer, please state that in your answer. As consultants, it gives us a better understanding of your situation and allows us to structure our suggestions and recommendations accordingly.
22. Overall financial goal or objective:
   
The following information will help us to better understand you and your business.
Name of Individual Completing this Questionnaire:
Title:
Telephone Number (with area code):
Best time to contact:
a.m. p.m.
Time Zone:
EST
CT
PST
Liquidity  
 
Yes
No
Not Sure
NA
23. Do you currently have the resources to grow your business without experiencing cash shortages?
24. Do you annually budget for your expected cash requirements?
25. Do you have a formalized process for new customer credit approval?
26. Do you manage your accounts payable disbursement practices to maintain good vendor relationships, vendor pricing, and your credit rating, while still delaying cash outlays as long as possible?
   
Profits and Profit Margins
27. Are your goals to have:
Higher Profits Now
Higher Profits in the Near Future
Long-term Sustained Profits
 
Yes
No
Not Sure
NA
28. Do you know your Gross Margin and is it comparable to your industry peers?
29. Do you need to add additional fixed costs to operate more effectively?
30. Do you have a comprehensively designed marketing plan and has it increased the effectiveness of your overall marketing efforts?
31. Does your compensation system effectively encourage increased productivity, revenues and gross profit?
   
Sales Growth  
32. Is your goal:
Rapid Growth
Moderate Controlled Growth
 
 
Yes
No
Not Sure
NA
33. Have you established sales goals for next year?
34. Can you clearly identify your ideal customer?
35. Do you formally track customer satisfaction to determine if you meet or exceed your customers’ expectations?
36. Does your sales team receive compensation that motivates them to increase revenues and profits?
   
Borrowing  
37. What is your feeling towards debt?
  Yes No
38. Are you against debt in the operation of your business?
38. Do you view debt as a resource for growth?
40. Is your cost of funds and interest rates lower than your return on assets?
Yes
No
Don't Know
 
Yes
No
Not Sure
NA
41. Are there any debt covenants or other issues with your bank that you have a hard time fulfilling?
42. Are you able to obtain reasonable terms from suppliers?
   
Asset Management  
  Yes No
43. Do you have target returns for your major assets?
 
Yes
No
Not Sure
NA
44. Do you currently use over 80% of your company's operating capacity during peak times?
45. Do you currently estimate the return on investment and set targets before purchasing new equipment, hiring new employees, or adding new business lines?
   
Employees  
46. Are your employees (check all that apply):
Temporary
Part-Time
Full-Time
47. Explain your rationale for types of employees:
 
Yes
No
Not Sure
NA
48. Do you have a profile for an ideal candidate for each job in your company?
49. Do you currently have job descriptions and policies and procedures in place for each position that adequately explain "How we do it here?
50. Could you increase production without dramatically altering your workforce?
51. Do you actively solicit ideas and suggestions from your employees in an attempt to improve productivity?
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