Fundraising questionnaire Thanks for your time: this will take 5 minutes 1. Please tell us about yourself.Name(Required) First Name Last Name Email(Required) Linkedin URL What is your role in the business?(Required) 2. Please tell us about your company.Company Name(Required) Website(Required) Year founded(Required)Employee headcount(Required) Country of incorporation(Required)United StatesUnited KingdomAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands 3. Company activitiesWhat primary technology best categorises your business?(Required)3D Bio-printingAgetechBiomarkersAI for drug discoveryAI for other longevity applicationsClinical services for longevityCyberneticsNutraceuticalsDigital healthGene therapyImmunotherapyNanotechnologyNeural integrationOrgan growthSenolytic drug therapyXenotransplantationOtherOther (please specify) What best describes your company's commercial status?(Required)A university spinout with unique intellectual property (pre-patent)Pre-revenueEarly revenueScaling-up revenueOther (please specify) Brief description (target indication/hallmark of aging/commercial stage/patents)(Required)Target(s) hallmark of aging (if you have defined) Altered intracellular communication Cellular Senescence Deregulated nutrient-sensing Epigenetic alterations Genomic instability Loss of proteostasis Mitochondrial dysfunction Stem cell exhaustion Telomere attrition (Recovery rate) 4. Funding stageWhat funding stage is your company currently at?(Required)Looking for pre-seed investmentLooking for seed investmentLooking for Series A investmentLooking for Series B investmentLooking for Series C investmentOtherOther (please specify) What is your target investment for your next investment round?(Required)Below $0.5m$0.5m to $1m$1m to $5m$5m to $10m$10m to $30m$30m to $50m$50m+ 5. Investor deckWho referred you to Longevity.Technology? Choose fileAccepted file types: pdf, doc, docx, pptx, Max. file size: 20 MB.Privacy Policy(Required) I confirm I have read your Privacy Policy