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Questions marked with a * are required Exit Survey
 
PRIMARY INFORMATION / MAKLUMAT UTAMA
Applicant / Company Name & Registration No : 
Permanent Address : 
Telephone : 
Mobile Phone : 
 
 
* Fax:
   
 
 
* Email Address :
   
 
 
 
PRODUCT / SERVICE 
 
 
* Describe your products or services?
   
 
 
What is the current stage of development of your product or service offering?
 
Idea
 
Development
 
Proof of concept
 
Prototyping
 
Testing
 
Ready to launch
 
Being sold
 
Expansion

 
 
 
SUPPORT NEEDS
 
 
Are you interested to benefiting from the support services at the incubator?
(include coaching, mentoring, consultancy and training)
 
Yes
 
No
 
 
If yes, which of the following services that you are interested?
 
Strategic Planning
 
Financial Planning
 
Marketing Services
 
Fund Raising
 
Contacts, Introduction and Networking
 
Partnership Development
 
Legal Services
 
Accounting Services
 
Recruitement

 
 
 
GENERAL