BUSINESS HEALTH INDEX SURVEY
TM

SECTION 4:

FINANCE

PLEASE RATE YOUR BUSINESS FOR EACH MAJOR CATEGORY BY CHECKING THE BOX THAT BEST DESCRIBES HOW YOU FEEL ABOUT EACH ITEM LISTED. WHEN COMPLETE, PRINT THIS PAGE

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Very Concerned

Concerned

Good Great Don't Know Not Applicable

1. Profit Margins

2. Cash Flow
3. Paying Bills on Time
4. Credit Availability
5. Collections
6. Bad Debt
7. Availability of Working Capital
8. Budgeting Process
9. Raising Capital
10. Salary & Bonus Analysis
11. Supplier Terms
12. Employee Benefit Plans
13. Insurance (Premium vs. Benefits)
14. Inventory Control
15. Investing Surplus Cash
Very Concerned

Concerned

Good Great Dont Know Not Applicable
16. Cost of Telephone
17. Cost of Power (electric, gas)
18. Cost control
19. Variable Costs
20. Aging Receivables (60+ days)
21. Forms and Records
22. Interest Payments (debt)
23. Controller/Treasurer
24. Relations with Stockholders/Partners
25. Liquidity
26. Liens, Lawsuit, Judgments
27. Licenses
28. Patents, Trademarks
29. Taxes (sales, state, corp.)
30. Billing Procedures
31. Leases or Properties
32. Sources of Financing
33. Refinancing of Debt
34. Audits
35. Financial Statements (P&Ls etc.)
36. Voluntary benefit plans
37. Risk assessment

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