Health Check Application Form 1. What is the average annual turnover of your business? ---< $500K$500K - 1M1M - 3M3M - 6M6M - 10M10M - 15M> $15M 2. What type of business do you operate? 3. Does your business have an internal financial controller/CFO? ---YesNo 4. How much time each week do you spend on working on your business rather than in your business? i.e. developing and implementing strategies to improve and grow your business? ---0 hours< 3 hours3-7 hours> 7 hours 5. How often do you review your profit and loss statement to understand how your business is performing? ---NeverWeeklyMonthlyQuarterlySix MonthlyAnnually 6. Do you set annual budgets/goals for your business? ---YesNo 7. Are you interested in working with an accountant that not only prepares your financial and tax returns, but can also work with you in strategically improving your business? ---YesNo Name Telephone Number Email Address