Laboratory Valuation Questionnaire

Laboratory Name:  

Owner Name(s):  

Laboratory Address:  

City / State / Zip:  

Phone Number to Reach Owner(s):  

Best Time to Call:  

Year Lab was Opened:  

Approximate Number of Customers:  

Approximate Annual Sales This Year:  

Approximate Annual Sales Last Year:  

Full Time Employees:  

Part Time Employees:  

Total Employees:  

Primary Product Sold at the Lab:  

Other Information we should know about you or your Lab: