| Organizational Location |
| Name |
|
| Address |
|
| Phone |
(
)
Ext
|
| Fax |
(
)
Ext
|
| Email |
|
| Web Site |
|
| |
| Organizational
Background |
| When Started |
|
| Number
of Employees |
|
Annual
Revenue
( past 3 years)
|
|
Annual
Profits/Losses
( past 3 years) |
|
|
| Roles
of Original Founder(s) |
Describe
Founder(s) Roles,
if any |
|
| Industry
Description and Outlook |
| Describe
Organization's Industry and Current Outlook |
|
| Major
Products / Services / Technologies |
| List the
Organization's Products, Services, and Technologies |
|
| Legal
/ Ownership Structure |
| Describe
Organization's Legal Ownership Structure |
|
|
Defining Moments
A defining moment is a very important event, either positive or
negative, which had a critical impact on the nature of your business
or its performance. These moments include events or decisions that
changed the organization dramatically, that reflect its true character
and that set the stage for its current situation. They may include
situations when an organization consciously changed the way it did
business, launched a new product, entered into a new market, hired
or fired a CEO or made other important personnel, product or service
changes. Please list the defining moments (that have occurred
within the past three to five years) in chronological order
beginning with the earliest. |
Defining
Moment 1
(earliest) |
|
Defining
Moment 2
|
|
Defining
Moment 3
|
|
|
| Board
of Directors |
|
If your organization has a functional
board of directors then rate them by selecting the appropriate
button below, otherwise select Not Applicable and continue
to Board of Advisors.
|
| Not
Applicable |
Poor |
Less
than Acceptable |
Acceptable |
Good |
Excellent |
|
|
|
|
|
|
|
|
| Board
of Advisors |
| If
your organization has a functional board of advisors then rate them
by selecting the appropriate button below, otherwise select Not
Applicable and continue to Marketing Strategies.
|
| Not
Applicable |
Poor |
Less
than Acceptable |
Acceptable |
Good |
Excellent |
|
|
|
|
|
|
|
|
| Marketing
Strategies |
| If
your organization has a written marketing strategy ( long term
and / or short term) then rate them by selecting the appropriate
button(s) below, otherwise select Not Applicable and continue
to Financial Reports. |
| Long
Term |
|
| Not
Applicable |
Poor |
Less
than Acceptable |
Acceptable |
Good |
Excellent |
|
|
|
|
|
|
|
| Short
Term |
|
| Not
Applicable |
Poor |
Less
than Acceptable |
Acceptable |
Good |
Excellent |
|
|
|
|
|
|
|
|
| Financial
Reports |
| If your
organization produces monthly budgets and / or monthly financial
reports then continue with Accounting otherwise
complete the box to the right. |
Which
reports does your company produce? |
|
Rate your financial reports on
two dimensions "Accounting" and "Usefulness for
Decision Making" listed below:
|
| Accounting
|
Poor |
Less
than Acceptable |
Acceptable |
Good |
Excellent |
|
|
|
|
|
|
|
| Usefulness
for Decision Making |
Poor |
Less
than Acceptable |
Acceptable |
Good |
Excellent |
| |
|
|
|
|
|
|
| Financial Performance |
| Rate
your organization's financial health situation. |
| Gross
Revenues in the Last 12 Months |
|
Poor |
Less
than Acceptable |
Acceptable |
Good |
Excellent |
| |
|
|
|
|
|
| |
| Bottom
Line Revenues (net profit or net change in assets) in the Last 12
Months |
|
Poor |
Less
than Acceptable |
Acceptable |
Good |
Excellent |
| |
|
|
|
|
|
| |
| Cash
Flow During the Last 12 Months |
|
Poor |
Less
than Acceptable |
Acceptable |
Good |
Excellent |
| |
|
|
|
|
|
| |
| Expected
Gross Revenues During the Next 12 Months |
|
Poor |
Less
than Acceptable |
Acceptable |
Good |
Excellent |
| |
|
|
|
|
|
| |
| Expected
Bottom Line (Net Profit or Net Change in Assets) During the Next
12 Months |
|
Poor |
Less
than Acceptable |
Acceptable |
Good |
Excellent |
| |
|
|
|
|
|
| |
| Expected
Cash Flow During the Next 12 Months |
|
Poor |
Less
than Acceptable |
Acceptable |
Good |
Excellent |
| |
|
|
|
|
|
|
| Recruiting Strategy |
| If your organization
has a recruiting strategy, rate the strategy in terms of Meeting
your current needs, and Meeting your expected needs over the next
3 years, by selecting the apprortiate button(s) below, otherwise
select Not Applicable and continue
to Organizational Strategy. |
| Meeting
Your Current Needs (Strategy) |
| Not
Applicable |
Poor |
Less
than Acceptable |
Acceptable |
Good |
Excellent |
|
|
|
|
|
|
|
| Meeting
Your Expected Needs Over the Next 3 Years (Strategy) |
| Not
Applicable |
Poor |
Less
than Acceptable |
Acceptable |
Good |
Excellent |
|
|
|
|
|
|
|
|
| Organizational
Strategy |
| If your organization
has an organizational strategy then rate how well it is organized
below, otherwise select Not Applicable and continue to Management
Strategy. |
| Rate
How Well Your Organization is Organized |
| Not
Applicable |
Poor |
Less
than Acceptable |
Acceptable |
Good |
Excellent |
|
|
|
|
|
|
|
|
| Management
Strategy |
| If your organization
has a management strategy then rate how well it is managed below,
otherwise select Not Applicable and continue to Production
and Manufacturing Process and Quality Control Strategy. |
| Rate
How Well Your Organization is Managed |
| Not
Applicable |
Poor |
Less
than Acceptable |
Acceptable |
Good |
Excellent |
|
|
|
|
|
|
|
|
| Production
and Manufacturing Process and Quality Control Strategy |
| If your
organization manufactures products then then rate how well those
products are manufactured and produced below, otherwise select Not
Applicable and continue to Customer
Service Strategy . |
| Rate
How Well Your Products Are Manufactured and Produced |
| Not
Applicable |
Poor |
Less
than Acceptable |
Acceptable |
Good |
Excellent |
|
|
|
|
|
|
|
|
| Customer
Service Strategy |
| If your organization
provides or conducts customer service then rate your customer's
satisfaction below, otherwise select Not Applicable and continue
to Information Technology Strategy.
|
| Rate
Your Customer's Satisfaction Level |
| Not
Applicable |
Poor |
Less
than Acceptable |
Acceptable |
Good |
Excellent |
|
|
|
|
|
|
|
|
| Information
Technology (IT) |
| If your
organization has a written IT strategy then rate how the Information
Technology needs are handled below, otherwise select Not Applicable
and continue to Step Two: Using Key Business
Tools for Analysis. |
| Rate
How the Information Technology needs are Handled |
| Not
Applicable |
Poor |
Less
than Acceptable |
Acceptable |
Good |
Excellent |
|
|
|
|
|
|
|
|
|
Step Two: Using Key Business
Tools for Analysis
|
| Gap Analysis |
| Describe where your
organization is now. |
|
| |
|
Identify
the GAP |
|
|
|
| Describe
where you want your organization to be in three years. |
|
| Competitive Analysis |
| List
the two strongest competitors in your industry and describe how
they are superior to your organization. |
A. |
|
| B. |
|
| List Three Competitive
Strengths Your Organization Has Over Some of its Competitors. |
| |
A. |
|
| |
B. |
|
| |
C. |
|
|
| Growth Drivers |
| |
|
Market
Drivers |
Internal
Drivers |
External
Drivers |
Customer
Satisfaction
Drivers |
| Identify
the prevailing forces (drivers). |
|
|
|
|
|
| Describe how will
drivers grow or decline in the next three years. |
|
|
|
|
|
|
| Strengths, Weaknesses,
Opportunities, Threats Analysis |
| List three of each specific
to your company or organization. |
| Strengths |
|
| Weaknesses |
|
| Opportunities |
|
| Threats |
|
|
| Stakeholder Analysis |
| Identify the six top
stakeholders for your organization. (Include customers, employees,
vendors, etc.) |
|
|
|
| Outsourcing |
| If your organization
has used outsourcing in the past 12 months then rate how well that
outsourcing performed below, otherwise select Not Applicable
and continue to Human Capital / Attitude Capital
/ Intellectual Capital. |
| Not
Applicable |
Poor |
Less
than Acceptable |
Acceptable |
Good |
Excellent |
|
|
|
|
|
|
|
|
| Human
Capital / Attitude Capital / Intellectual Capital |
| Please rate your organization
in each of the areas listed below. |
| Human
Capital |
Poor |
Less
than Acceptable |
Acceptable |
Good |
Excellent |
|
|
|
|
|
|
| Attitude
Capital |
Poor |
Less
than Acceptable |
Acceptable |
Good |
Excellent |
|
|
|
|
|
|
| Intellectual
Capital |
Poor |
Less
than Acceptable |
Acceptable |
Good |
Excellent |
|
|
|
|
|
|
|
| Leadership |
| Rate the overall leadership
perfomance in the organizaton below. |
| Overall
Leadership |
Poor |
Less
than Acceptable |
Acceptable |
Good |
Excellent |
|
|
|
|
|
|
|
| Training |
| Rate the effectiveness
of your organization's training activities. If your company or organization
measures the effect of training programs on employee satisfaction,
employee productivity, stimulation to prompts or any other measures
of training impact then use your data to rate the overall effectiveness
of those training programs below, otherwise select Not Applicable
and proceed to the next question. |
| Not
Applicable |
Poor |
Less
than Acceptable |
Acceptable |
Good |
Excellent |
|
|
|
|
|
|
|
| Rate
your training program based on its perceived overall impacts on
the employee and company or organization. |
| Perceived
overall impact on employee, company or organization |
Poor |
Less
than Acceptable |
Acceptable |
Good |
Excellent |
|
|
|
|
|
|
|
| Summary Comments |
| Please provide your
conclusion based on using the Self Assessment Module. |
|
|
|
| In the box below,
please submit questions you would like Herb Rubenstein Consulting to address in assisting
your company's future growth. |
|
|
|
Have
you or anyone in you organization read our book, Breakthrough,
Inc...High Growth Strategies for Entrepreneurial Organizations
by Herb Rubenstein and Tony Grundy (Financial Times/Prentice Hall
1999)?
YES:
NO:
I would like to order
copies of the book from Herb Rubenstein Consulting for $25.00 (shipping
and handling included). |
| When you have completed
this form please select the "submit" button below. |
|
|