Skip to content
Join
Impact Startup
Questionnaire
This questionnaire is designed to assess the level of innovation, sustainability, and investment potential of your impact startup.
Please answer all questions as accurately as possible.
Part 1 of 8: Startup Information
First name
Last name
Company name
Location (City, Country)
Email Address
Phone Number
Part 2 of 8: Innovation and Problem Solving
What specific problem does your startup address?
(Please be as concise and clear as possible)
How innovative is your solution?
1: Existing solution with minimal improvements
2: Significant improvement of existing solutions
3: New application of existing technologies
4: Novel solution with potential for patenting
5: Groundbreaking, patented innovation
Which of the UN Sustainable Development Goals (SDGs) does your solution primarily target?
(Multiple choice possible)
SDG 1: No Poverty
SDG 2: Zero Hunger
SDG 3: Good Health And Well-Being
SDG 4: Quality Education
SDG 5: Gender Equality
SDG 6: Clean Water And Sanitation
SDG 7: Affordable And Clean Energy
SDG 8: Decent Work And Economic Growth
SDG 9: Industry, Innovation And Infrastructure
SDG 10: Reduced Inequalities
SDG 11: Sustainable Cities And Communities
SDG 12: Responsible Consumption and Production
SDG 13: Climate Action
SDG 14: Life Below Water
SDG 15: Life On Land
SDG 16: Peace, Justice And Strong Institutions
SDG 17: Partnerships For The Goals
How large is the potential positive impact of your solution?
1: Local impact (city or small region)
2: Regional impact (large region or small country)
3: National impact (large country)
4: Continental impact
5: Global impact
How many tons of CO2 will your project save annually if you reach your goals?
How easy is your solution to implement and scale?
(1 = very complex, 5 = very easy)
1
2
3
4
5
Briefly describe how your solution works and why it is more effective than existing alternatives.
(Max 200 words)
Part 3 of 8: Market Potential and Scalability
How large is your addressable market
(TAM - Total Addressable Market)?
< €100 million
€100 million - €1 billion
€1 billion - €10 billion
€10 billion - €100 billion
> €100 billion
In which phase is your startup?
Idea phase
Prototype / Proof of Concept
First customers / Pilot projects
Growth phase
Established with stable revenue
What is your current annual revenue growth rate?
Pre-revenue
< 20%
20% - 50%
51% - 100%
101% - 200%
> 200%
How quickly can you scale your solution?
(1 = very slow, 5 = very fast)
1
2
3
4
5
What barriers exist for your solution's market entry?
(Multiple choice possible)
Regulatory hurdles
High infrastructure costs
Strong established competitors
Lack of customer acceptance
Technological challenges
Funding constraints
Lack of skilled workforce
Other
Part 4 of 8: Finances and Investments
How much capital have you raised so far?
Bootstrapped (no external funding)
< €100,000
€100,000 - €500,000
€500,001 - €2 million
€2 million - €10 million
> €10 million
What is your current monthly burn rate?
< €10,000
€10,000 - €50,000
€50,001 - €200,000
€200,001 - €1 million
> €1 million
When do you expect to reach the break-even point?
Already reached
Within the next 6 months
Within 6-12 months
In 1-2 years
In 3-5 years
In more than 5 years
What type of financing are you currently seeking?
Not seeking financing at this time
Seed
Series A
Series B or higher
Strategic partnership
Grants or non-dilutive funding
Other
Part 5 of 8: Team and Expertise
How many founders does your startup have?
1
2-3
4-5
> 5
What relevant experiences and qualifications does your founding team bring?
(Multiple choice possible)
Industry expertise
Technical expertise
Entrepreneurship experience
Finance and business management skills
Research and development background
Sales and marketing expertise
International business experience
Other
How many employees does your startup have in total?
1-5
6-20
21-50
51-100
> 100
Do you have an advisory board or other external advisors?
If yes, briefly describe their expertise and contribution.
(Max 100 words)
When do you plan your exit?
2-5 years
5-10 years
no exit plan
Part 6 of 8: Sustainability and Impact Measurement
How do you measure the impact of your startup?
Please be specific about metrics and methodologies used.
(Max 150 words)
Do you have quantifiable goals for your sustainability impact?
If yes, please provide some examples
How do you integrate sustainability principles into your business processes?
(1 = barely integrated, 5 = fully integrated)
1
2
3
4
5
What potential negative impacts could your solution have, and how do you address these?
(Max 150 words)
Part 7 of 8: Networking and Collaborations
Who would you need to be connected with to make your project successful much faster?
(Multiple choice possible)
Venture Capital firms
Business Angel organizations
Marketing agencies
Corporations / Large enterprises
Research institutions / Universities
Government organizations / Policy makers
NGOs / Non-profit organizations
Technology experts
Industry-specific professionals
Media / Press contacts
Potential customers
Supply chain partners
Other:
Please name up to 5 specific persons or organizations you would like to be connected with to advance your project:
Is there anything else you would like to share about your startup or its impact potential?
(Max 200 words)
Part 8 of 8: Agreement
Privacy Policy
I read the
privacy policy
and agree to the processing of my personal data.
Newsletter
I would like to receive updates and news from GICA.
Thank you for completing this questionnaire.
Your responses will help us assess the impact potential and investment attractiveness of your startup.
Submit
Home
Membership
events
Network Benefits
Idea
Manifest
Impact Digest
Home
Membership
events
Network Benefits
Idea
Manifest
Impact Digest
close icon
Youtube
Instagram
Twitter
Facebook-f