Yes, I’m Serious!

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If you are a serious candidate wanting information on franchise or business opportunities, this is where we begin. Please complete and submit the following information below. If you are not quite ready to divulge all this information to me, that’s OK, just call one of the numbers above or submit only contact information on my contact page.  Thank you, and I look forward to partnering with you on your journey to business ownership.

Confidential Questionnaire

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100 - BASIC INFORMATION (Required)
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Name

Address

City

State

Zip

Email

Best Phone# CellHmOfc

Best Time to Reach you:
Between 8-10am... 10-12am... Noon-2pm... 2-5pm... 5-7pm

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200 - BACKGROUND & PARTNERSHIP
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Describe your education and professional background (required):

Is anyone else involved in your decision to start a business?YesNo

..........If yes, who?

Are you married? YesNo

..........If yes, Spouse's Name:

..........If yes, should spouse be included in calls? YesNo

Have you ever served in the military?YesNo

If married, has your spouse ever served in the military?YesNo

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300 - FINANCIAL
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Cash you have available to invest:

What is your net worth?
(total assets minus total liabilities):

Current Credit Score:

Do you have an IRA or a 401k from a previous employer?YesNo

..........If yes, what is the current value?

Have you ever filed bankruptcy? YesNo

..........If yes, how long ago?

Are you willing to obtain financing if necessary?YesNo

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400 - BUSINESS PREFERENCES
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Full TimePart TimeNo Preference
Direct Sales BasedAdvertising BasedNo Preference
White CollarBlue CollarNo Preference
Established ConceptNew ConceptNo Preference
Competitive IndustryOnly Game in TownNo preference
Business to BusinessBusiness to ConsumerNo Preference
Home BasedOffice BasedNo Preference
Small StaffLarge StaffNo Preference
Owner OperatorExecutive ModelNo preference

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500 - SKILLS
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Rank your skills in these areas (1-10 with 10 being the strongest)

Management.

Sales ............

Marketing .....

People ..........

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600 - BUSINESS HOURS PREFERENCE
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Monday-Friday
No Nights
No Saturdays
No Sundays
No Preference

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700 - INDUSTRY INTERESTS (check all that apply)
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Automotive
Business Services
Child Services
Cleaning Services
Financial Services
Food & Beverage
Health Services
Home Improvement Services
Personal Care Services
Pet Services
Repair & Restoration
Retail
Senior Services
Technology Services
Vending
Other please specify:

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800 - MISCELLANEOUS
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What is your timeframe?
Have you spoken to any franchise recently or completed any on-line applications? YesNo
Where do you want your business to be located?
(City, State, Zip)

What are 3 NON BUSINESS RELATED things that you are really good at?
Examples (handy around the house, sports, coaching, creativity, music, arts, etc.)

Is there anything else I should know that will help me in finding you the right franchise or business opportunity?