Inventor Questionnaire

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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?

Are you active or retired First Responder?*

Yes

Which department?

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)

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?*

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

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

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.*

Other Area(s) of Assistance Required:*

Inventor Rescue Concierge Services*

Price:

Coupon

Total

Credit Card*

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

Billing Address

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

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Inventor Questionnaire

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