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IT'S ALL ABOUT YOU
First Name
Last Name
Age
Your Address
Address Line 2
City
State / Providence
Zip / Postal Code
Country
Your Education Level:
HIgh School
College
Graduate
Post-Graduate
WAY'S WE CAN BEST REACH YOU
Phone
Best Time of Day to Call
Primary Email
WHAT YOU'RE DOING, CAREERWISE, RIGHT NOW
Your Employer
Current Position
Your Current Duties
Annual Income
Spouse/Partner Employer
Your Spouse's Current Position
Spouse's Annual Income
YOUR THOUGHTS ABOUT OWNERSHIP
Why do you want to own your own business? What is the most important thing you believe ownership might provide you outside of your current situation?
In the past, have you researched franchising? If yes, please list them
Have you (or any family members) ever owned a small community business or a franchised business? Explain
Any concerns or questions about franchise ownership that you want to make sure we answer for you?
Your timetable to start your new business?
Now
3-6 months
Within the next year
Which business type best describes what you are looking for:
Owner operator (you need/want to work in the business full-time)
Semi absentee (work part-time in your business and possibly open a second location
Which best describes you
I love working with others and would have no problem dealing with the general public
I like working with others but prefer to only work with other business owners and like minded people
Which best describes you:
I can follow directions and execute but have difficulty managing other people
I can follow directions, execute and also manage a team of people to do the same
Which best describes you:
I like to jump in and "get my hands dirty"
I like to jump in and "get my hands dirty" but only if it is behind a desk
I like to manage other people who "get their hands dirty"
I like to manage other people only in an office environment
Which is most important to you:
Money ( I will work weekends and late nights )
Earning a living ( But not at the expensive of my family or hobbies )
My schedule life outside work
Which best describes you:
I consider myself a salesperson. I can sell anything to anyone!
I am good at sales when I have a great product or service to sell
I don't consider myself a salesperson but enjoy networking in the community, attending networking events etc.
I hate sales. I prefer the operations part of the business
What geographical areas ( City, State ) would you like to own and operate your business?
2nd Preference:
Have you or any family members ever owned a business or franchise?
yes
no
What are 6 things in life you most enjoy doing? (Hobbies, activities aside from family, time, & travel )
1.
2.
3.
4.
5.
6.
Rank 1 to 5 ( with 5 = very interested, and 1 = no interest )
Organize People, Things
Design
Landscape my yard
Work With Hands & Tools
Artistic - Music, Paint, Photo
Being Outside
Mechanical Aptitude
Project Management
Risk Taker
Coach / Teach
Manage People
YOUR THOUGHTS ABOUT THESE INDUSTRIES
Click All That Apply
Check Options Interested In
Business to Business
Business to Consumer
Sports Activities
Car / Automotive
Food & Restaurant
Senior Care / Healthcare
Business and Services
Coaching or Teaching
Travel Services
Gym / Fitness
Hair Salon , Spa , Fashion
Working With Children
Cleaning & Maintenance
Health Care and Wellness
Vending Services
Advertising and Marketing
Home Services and Improvement
Building and Storage
Restaurants and Coffee
Computer Businesses
Entertainment
Personnel and Staffing
Financial Services
Children's Services
Pets & Animals
Design
Retail
Dry Cleaning
Remodeling
Real Estate
Master Franchises
PERSONAL FINANCIAL STATEMENT
Assets
Cash ( Checking & Savings )
Stocks, Bonds, CDs
Primary Home Value
Second Home - Other Real Estate
401(k) or IRA (pretax only)
Pensions Or After Tax Retirement
Other Assets
TOTAL ASSETS
LIABILITIES
Installment Credit Card Debts
Primary Home Amount Owed
Second Home - Other Real Estate
Home Equity Line of Credit
Other Liabilities & Debts
Other
TOTAL LIABILITIES
NET WORTH
(Total Assets - Total Liabilities)
OTHER FINANCIAL DATA
Are additional funds available to start a business
Yes
No
Do you plan to have a partner?
Yes
No
Do you plan to have investors?
Yes
No
Any other sources of income than current salaries?
What is your FICO Score (if known)?
Ever involved in a lawsuit?
Yes
No
Have you ever filed for bankruptcy?
Yes
No
SUBMIT
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Example: 12
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