F
EDERAL
R
ESERVE
B
ANK
OF
P
HILADELPHIA
Business Outlook Survey Questionnaire
SAMPLE
Date completed: _________
We would like your opinion of business conditions. Please complete this questionnaire by checking the
appropriate boxes and return by FAX. The survey must be received by close of business, September 17
.
«Chief_Executive»
«Chief_Executive_Title»
«Company_Name»
«Mail_Address»
«Mail_City» «Mail_State» «Mail_Zip_Code»
CONFIDENTIAL: Individual replies will not be published or quoted
September vs. August Six Months from Now vs. September
Indicator
Decrease No Change Increase Decrease No Change Increase
General Business Conditions
What is your evaluation of the
level of general business activity?
Company Business Indicators
New Orders
Shipments
Unfilled Orders
Delivery Times
Inventories
Prices Paid
Prices Received
Number of Employees
Average Employee Workweek
Capital Expenditures
_____________________________
SPECIAL QUESTIONS
ANY SPECIAL QUESTIONS FOR THE MONTH GO HERE
General comments about cu rrent manufacturing conditions (or the impact of recent events on business):
Resume Templates 1210 Document(s)
