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Startup Self-Assessment Form
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Step
1
of 5
Your name
*
Startup Name
*
Your role
*
Select One
Lead Founder
Co-Founder
Employee
Mentor
Incubation Manager
Your Email Address
*
Email
Confirm Email
Contact Number (WhatsApp)
*
Name of the Incubator/Accelerator
*
Type "None" if not incubated
Resident City
*
City where startup resides/head office
Resident Country
*
Select One
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia (Plurinational State of)
Bonaire, Saint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo (Democratic Republic of the)
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Kingdom of)
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland (Republic of)
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea (Democratic People's Republic of)
Korea (Republic of)
Kosovo
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia (Federated States of)
Moldova (Republic of)
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia (Republic of)
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine (State of)
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Republic of China
Tajikistan
Tanzania (United Republic of)
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom of Great Britain and Northern Ireland
United States Minor Outlying Islands
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City State
Venezuela (Bolivarian Republic of)
Vietnam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Current Developmental Stage
*
Select One
Pre-Seed Early - Just an idea
Pre-Seed Final - Fully formed business concept
Seed Early - Started working on the MVP
Seed Progress - MVP development is well underway
Seed-Final – MVP is completed with at least one customer in consultation
Launch-Early – MVP is done, actively seeking customers
Launch-Progress – Three or more customers are using the product
Launch-Final – Growth plan is ready with a tested business model
Accelerate-Early – Actively seeking investors for growth
Accelerate-Progress – Series A round is completed and now ready to hit the gas
Accelerate-Final – A large number of customers are acquired
Next
Incubate Entry
Do the founders have a clear problem statement with market validation, clearly identifying the customers that are willing and able to pay for a solution?
*
Select One
Yes
No
Not Sure
Is there a sound strategy and plan for product/service development and delivery?
*
Select One
Yes
No
Not Sure
Does the founding team have leadership potential and can build and maintain relationships with the customer?
*
Select One
Yes
No
Not Sure
Does the team demonstrate a strong commitment to the venture?
*
Select One
Yes
No
Not Sure
Do the team members have the abilities and expertise required for the product to be developed, including practical skills, like problem-solving, strategic, and organizational abilities?
*
Select One
Yes
No
Not Sure
Is the company registered as an independent entity?
*
Select One
Yes
No
Have founders agreed on a sound equity distribution plan for incubating stage?
*
Select One
Yes
No
Not Sure
Do legal contracts between founders and the company exist?
*
Select One
Yes
No
Not Sure
Are vesting Agreements in place for founders?
*
Select One
Yes
No
Not Sure
Next
Incubate Exit
Is there a demonstrable MVP that is developed in consultation with potential customers?
*
Select One
Yes
No
Not Sure
Is there at least one customer that has used the MVP?
*
Select One
Yes
No
Not Sure
Are the Product Pricing and Marketing strategy in place?
*
Select One
Yes
No
Not Sure
Is there a clear value proposition for customers and relevant marketing material is available in a presentable format?
*
Select One
Yes
No
Not Sure
Is there a list of potential customers or leads that can be reached within the founders network?
*
Select One
Yes
No
Not Sure
Has the team developed a Lean canvas and discussed it at least four times?
*
Select One
Yes
No
Not Sure
Is the Investment need for the launch stage identified clearly?
*
Select One
Yes
No
Not Sure
Is there a funding plan in place for the launch?
*
Select One
Yes
No
Not Sure
Is the company Registered as an independent entity?
*
Select One
Yes
No
Not Sure
Are there bank and merchant accounts in place?
*
Select One
Yes
No
Not Sure
Does the company have all income tax, sales tax, state tax, and other ids in place?
*
Select One
Yes
No
Not Sure
If a patent could be filed, is filed, and if a paper could be published is published?
*
Select One
Yes
No
Not Sure
Not Applicable
Next
Customer Readiness
Does the startup have a Customer Elevator Pitch?
*
Select One
Yes
No
Not Sure
An Elevator pitch for customers is a simple statement about your business that will catch the attention of a potential customer. Can you tell in one or two sentences what value you can create for the customer?
What would you say to the customer if you had only 30 seconds?
*
Does the startup have a customer short intro to seek time for a formal or informal presentation?
*
Select One
Yes
No
Not Sure
Short intro is used in emails, text messages, on LinkedIn, or through intermediaries like friends/family, to introduce your startup to a potential client. It should be strong enough to convenience the customer to meet up.
Is there a landing page for potential customers to visit?
*
Select One
Yes
No
Not Sure
A single page with Why your product is needed by the customer, the value you offer, competitor analysis, sign-up, or expression of interest form.
Is there a formal presentation ready to share with potential customers?
*
Select One
Yes
No
Not Sure
A creative and impressive presentation of the value proposition and business model.
Are there Social Media Pages for the startup?
*
Select One
Yes
No
Not Sure
As soon as a potential customer is interested in what you are offering, they will search you on the Internet. Your presence on all the important platforms will give them the confidence that you are reliable.
Does the startup have Service Contract, Licensing Agreement, Subscription Agreement, or Sales Deed ready for new customers?
*
Select One
Yes
No
Not Sure
The actual contract startuo will use to do the transaction with the customer.
Can startup receive money from the customer using a debit/credit card or bank transfer?
*
Select One
Yes
No
Not Sure
Ability to accept credit cards, deposit checks, issue invoices, etc.
Next
Is there an Investor Pitch Deck ready for presentation?
*
Select One
Yes
No
Not Sure
The Elevator pitch & pitch deck ought to be a synopsis of business plan, highlighting key points very well. It should also explain the genuine need for the product in the market, its unique selling point, what differentiates the product from its competitors and the business model.
Are all legal documents up to date and all reports with regulatory authorities are current?
*
Select One
Yes
No
Not Sure
Is there a business model canvas?
*
Select One
Yes
No
Not Sure
Is there an in-depth competitor analysis done by the team with clear competitive advantage?
*
Select One
Yes
No
Not Sure
Is there enough traction with the customers that can validate a product/market fit?
*
Select One
Yes
No
Not Sure
Is there a good Business Growth Plan in place?
*
Select One
Yes
No
Not Sure
Are there financial statements both historical and projected, including profit & loss and balance sheet?
*
Select One
Yes
No
Not Sure
Is Cap Table documented properly?
*
Select One
Yes
No
Not Sure
Is there a good funding plan in place with details on how much money is needed, key milestones over the next 12/24 months, and key performance indicators?
*
Select One
Yes
No
Not Sure
Submit