INVENTOR QUESTIONNAIRE

YOU MUST HAVE A CURRENT PROVISIONAL OR PATENT APPLICATION FILED TO PARTICIPATE

I HAVE AN IDEA ONLY CLICK HERE

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Name*

First Last

Age*

Please enter a number from 0 to 99.

Email*

Phone*

Are you active or retired Military?*

Yes

Which branch?

Please upload a photo of the front & back side of your ID card:*

Drop files here or

Max. file size: 50 MB.

Are you active or retired First Responder?*

Yes

Which department?

Please upload a photo of the front & back side of your ID card:*

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Max. file size: 50 MB.

What is your location?*

City State

Is this your first invention?*

Yes

What industry does your product fall under?*

Industry:*

Who is your target customer?*

What is the Age Range for your customer?

From Age:*

Please enter a number from 1 to 99.

To Age:*

Please enter a number from 1 to 99.

What type of business is this?*

B-to-C (Business to Consumer)

B-to-B (Business to Business)

B-to-G (Business to Government)

Social Impact or Non-Profit

Subscription Business

What problem(s) does the product solve?*

How big is the problem?*

How do you know this is a big problem?*

What market research have you done?*

Have you conducted a Worldwide prior art search?*

Yes

Who did the search?*

I did it myself

Patent Attorney

Patent Agent

Other

Have you filed any provisional patent applications?*

Yes

What type?*

Utility

Design

Plant

Other

When does it expire?*

MM slash DD slash YYYY

Do you know the difference between a Design Patent and a Utility Patent?*

Yes

Have you created any CAD files for this idea?*

Yes

Are you a member of any inventor clubs or associations?*

Yes

Which club(s) or association(s)?*

Do you have a functioning prototype?*

Yes

Have you manufactured this idea or any other products in the past?*

Yes

Name of Product*

Cost of Goods Sold (COGS) per unit*

(cost to make one unit packaged)

How many have you made to date?*

How much inventory do you have sitting now?*

Are you paying for storage of the inventory?*

Yes

How did you find the supplier who produced the units?*

Where is the factory located?*

United States

Overseas

How many units have you sold to date?*

What are your total sales to date ($) ?*

What Material(s) is the product made of?*

Please list additional material(s):*

Have you filed for a Trademark?*

Yes

Are you interested in manufacturing or licensing your idea?*

Have you shared your idea with any companies?*

Yes

Which companies?*

To date, how much personal capital have you invested in your idea/product?*

Have you borrowed any money?*

Yes

How much?*

Do you have any partners?*

Yes

How many partners do you have?

Have you received money from anyone?*

Yes

Who have you received money from?*

Are they getting any ownership in exchange for funding?*

Yes

Is it a loan that needs to be paid back?*

Yes

Do you own an existing business?*

Yes

Tell us a little bit about your business:*

Are you an employee or independent consultant in another business?*

Yes

Have you ever paid money to any invention licensing company to help get your product or idea licensed?*

Yes

What is the company's name?*

Who was your coach or representative from the company?*

How much did you pay them?*

Have you ever paid money to any invention coach for services?*

Yes

What is the coach and company's name?*

How much did you pay them?*

Have you ever paid money to any invention marketing or invention submission company?*

Yes

What is the company's name?*

How much did you pay them?*

What services did they provide?*

Do you have any photos of the product?*

Yes

Please Upload Pictures Here:*

Drop files here or

Accepted file types: jpg, jpeg, png, gif, pdf, Max. file size: 50 MB.

Have you created a business plan for this business?*

Yes

Have you created a one page product information or sell sheet?*

Yes

Upload your info/sell sheet (optional)

Drop files here or

Max. file size: 50 MB.

Who are your competitors?*

Do you have any videos of the product?*

Yes

Please share YouTube or Vimeo link here:*

Do you have a website?*

Yes

Please share website URL here:*

What's your story behind this product / idea?*

How did you find Inventor Rescue?*

Have you done a target audience survey?*

Yes

How many people participated in the survey?*

What did you learn from this survey?*

Are you aware of any industry trade shows?*

Yes

Please name the show(s)*

Have you attended any industry shows for this product?*

Yes

Please list the name and dates of the show(s) you attended.*

Tell us exactly what specific help you are looking for by checking each box that applies. If a topic you need help with isn’t listed below, click other and tell us exactly what help you are looking for from us.*

Proving Your Idea

Patent /Trademark/Copyright Attorney

CAD Development

Prototyping

Business Formation

Manufacturing

Market Research

Licensing

Website Development

Social Media

Public Relations

Crowdfunding

Funding Options

Personal Loans

Selling on Amazon

Coaching

Other

Other Area(s) of Assistance Required:*

Inventor Rescue Concierge Services*

Price:

Coupon

Total

Credit Card*

American Express

Discover

MasterCard

Visa

Supported Credit Cards: American Express, Discover, MasterCard, Visa

Card Number

Expiration Date Month Year

Security Code Cardholder Name

Billing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Name

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INVENTOR QUESTIONNAIRE

YOU MUST HAVE A CURRENT PROVISIONAL OR PATENT APPLICATION FILED TO PARTICIPATE

I HAVE AN IDEA ONLY CLICK HERE

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