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TAN Registration Survey
COMPLETION OF THIS SURVEY IS A CONDITION OF REGISTERATION FOR NEW OR RENEWING APPLICANT
Tech Angel Network (TAN) is keenly interested in providing registrants with maximum benefit, which is aligned with registrants’ interests. One of the few ways we have to better understand these interests is to conduct registrants’ surveys and carefully review the results for trends, such as: 1. investment interests; 2. need for expertise among registrants’; and 3. registrants’ skills which may be valuable to the group as well as for companies. Individual data will be treated confidentially and will not be shared internally or externally; only selected TAN Board members will be privy to individual responses. The survey results may be used in aggregate for various purpose.
What is your registration status? New________ Renewing________
Have you ever been an angel investor? No_______ Yes_________
If yes, how long? _____ year(s)
If yes, how many companies have you invested in as an angel investor?_____ (number)
In what industry(s) do you have professional experience? (Check all that apply)
Health care___Telecommunications____Media____Manufacturing___ Environment____
Biotechnology____Business/Financial_____Energy____E-Commerce____Industrial____
Software____Consumer Products____Agriculture____Hardware____Semiconductor___
Other: ________________________________________________
What business skills/expertise do you have? (check all that apply)
Senior Management____Board Member_____Operations______ Marketing_____Sales___R&D___Financial services___ Strategic planning__Business plan development___Employee benefits_____ Insurance___Legal___Public Relations____Infrastructure_____Accounting__
Have you ever been a company founder or officer? (check all that apply)
Founder___CEO___President____VP – R&D____CFO___
CIO_____COO______VP – Sales and Marketing_________
If you answered yes to question 3.2, please complete the following questions
As an angel investor, what is the typical stage a company is in at the time of your first investment? (give percent for each, totaling 100%)
Start-up/seed _____% Early stage _____% Expansion _____%
Later stage _____% Mezzanine to IPO _____% Public _____%
As an angel investor, what is the typical relationship you have with portfolio companies? (check all that apply)
Board member___ Advisor/mentor____ Officer Employee___ Consultant____Passive___
Other: ______________________________________________
As an angel investor, what has been your typical investment range? (Give percent for each, totaling 100%)
Under $5,000 _____% $5,000 to $10,000 _____% $10,000 to $25,000 _____% $25,000 to $50,000 _____% $50,000 to $100,000 _____% $100,000 to $500,000 _____% $500,000 to $1 Million _____% More than $1 Million _____%
If a renewing TAN registration, have you invested in any company introduced by TAN
No___________Yes____________
If yes, which company(s)? _____________________________________________________________________
If no, why not? _____________________________________________________________________
What is your preferred form of investment? (rank with 1 highest)
Equity _____Debt _____Combination _____Case by case _____
What is your general expectation on length of time until return on investment?
Less than 1 year_____ 1 to 3 years______3 to 5 years_______More than 5 years______
In what industries have you invested? (check all that apply)
Health care___Telecommunications____Media____Manufacturing___ Environment____
Biotechnology____Business/Financial_____Energy____E-Commerce____Industrial____
Software____Consumer Products____Agriculture____Hardware____Semiconductor___
Other: ________________________________________________
What has been your historical angel investment rate of return?
Negative____ 0% to 10%_____10% to 30%_____ 30% to 50%_______
50% to 100_____100% to 200%______ More than 200%______
What do you enjoy about being registrant of TAN or any angel group? (rank all that apply, with 1 highest)
Education ____Camaraderie/social _____Joint due diligence _____Meeting companies _____ Shared expertise _____ Administrative support _____ Professional support _____ Guest speakers _____ Other _____
How would you rate your overall satisfaction with TAN? _____ 1 – 5 (1 highest)
How might we improve TAN and your registration experience?
___________________________________________________________________
___________________________________________________________________
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___________________________________________________________________
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Name: _________________________________________ Date:_________________
Thank you for completing this survey.”
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