BAQ Facilities Business Assessment Questionnaire – Facilities Company name Email address Is your space: Home-basedLeased FacilityOwned FacilityShared Office SpaceOther If rented, is your gas & electric included in the rent? YesNo If rented, is your water included in the rent? YesNo If rented, does your lease include a percentage of profit clause? YesNo Have you analyzed the facility for energy efficiency? YesNo What are your normal business hours? Who has keys? Do you have a fire extinguisher on premises? YesNo Do you have a first aid kit on premises? YesNo How many phones (land lines) do you have? Do you have a voice messaging system? YesNo Do you plan on decorating your space for holidays? YesNo Note that #1 means you strongly agree, #2 means you somewhat agree, #3 means you neither agree nor disagree, #4 means you somewhat disagree and #5 means you strongly disagree. My facilities are great for what I do. 12345 When I do improvements I plan for the long run. 12345 I might remodel my space without getting the required permit(s). 12345 Building codes are very important. 12345 I don’t need a cleaning service. 12345 #I would like to open up other locations. 12345 Δ