Are you increasing your base of prospects and customers? Do your emails and newsletters get a response? Are you getting leads from them? Do you consistently push your ideas out?
Is your website ranking above your competitors? Do you know how your visitors find your website? Do you know the words they search with? Have you made it easy for them?
Is it slow to load? Is it down a lot? Are you getting spammed and hacked? Has it had an update since Windows 8 came out? Do you basically never want to deal with it?