Questionnaire Step 1 of 10 10% Please fill out questionnaire from a computer or laptop.It will not process correctly from an iphone or ipad.Name* First Last Age*Please enter a number from 10 to 100.Spouse's Name First Last Spouses AgePlease enter a number from 10 to 100.Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code HomeSelectOwnRentHow long?Please enter a number from 0 to 100.Best phone number 1Best phone number 2Please share the best time and day to contact you.Email Address* CitizenshipSelectUSCanadianOtherAre you a veteranSelectYesNoProfessional affiliations or hobbies?How did you hear about Franchise Connectors?ChildrenHow manyPlease enter a number from 0 to 9.Ages Professional InformationYour Occupation Employer Position Income Your Spouse's OccupationEmployer/Last Employer Job Title Income Describe your current responsibilities or most recent role/responsibilities if not currently employed.Tell me about a work situation in which you were the happiest?What have you liked least about current or past work experiences?Things you want to avoid when considering a business?What hobbies and activities do you pursue in your free time?Based on experience your strengths are?Your weaknesses are? BUSINESS EXPERIENCEHave you ever owned a business?SelectYesNoHow long have you been looking for a business? Why are you looking now?What else would you like to discuss?How will you know when you have found the right business?How much time can you devote to working in your business?Greatest business achievement?Please describe the most important things to you in choosing a business? RATE YOUR FRANCHISE KNOWLEDGEWhat have you looked at?What did you like?Why did you like it?#1 most important attribute of a business?Time frame for being in business? Who will make the decision? WHERE DO YOU WANT TO OPEN A BUSINESS? (i.e. Summit, NJ or ORANGE COUNTY, CA)Location #1Location #2Location #3 YOUR PERSONAL INTERESTS/YOUR SPOUSE'S PERSONAL INTERESTS (Scale of 1-5, 5 is the highest)Automobiles/Cycles* 1 2 3 4 5 Pets and Animals* 1 2 3 4 5 Design and Decor* 1 2 3 4 5 Caregiver-Helper* 1 2 3 4 5 Fitness/Sports/Healthy* 1 2 3 4 5 Being Adventurous* 1 2 3 4 5 Talk w/Anybody* 1 2 3 4 5 Education/Teaching* 1 2 3 4 5 Good with Hands/Tinker* 1 2 3 4 5 Kids Are My Life* 1 2 3 4 5 Home Improvement* 1 2 3 4 5 Creative/Artistic* 1 2 3 4 5 Community Active* 1 2 3 4 5 Working with #'s* 1 2 3 4 5 Sales* 1 2 3 4 5 Employee Management* 1 2 3 4 5 Organizational/ HR* 1 2 3 4 5 Finance* 1 2 3 4 5 Operations* 1 2 3 4 5 Supply Chain* 1 2 3 4 5 Information Technology* 1 2 3 4 5 Leadership and Vision* 1 2 3 4 5 Marketing* 1 2 3 4 5 INTEREST IN TYPES OF BUSINESSES (Scale of 1-5, 5 is the highest)Retail- Strip Center* 1 2 3 4 5 Retail- Stand Alone* 1 2 3 4 5 Home Based* 1 2 3 4 5 Van Based* 1 2 3 4 5 Personal Services* 1 2 3 4 5 Professional Services* 1 2 3 4 5 Food Related* 1 2 3 4 5 Automotive* 1 2 3 4 5 Business to Business* 1 2 3 4 5 Hotel* 1 2 3 4 5 Real Estate* 1 2 3 4 5 Property Services* 1 2 3 4 5 Customer ServiceTo ramp up my business quickly, I enjoy spending much of my time out in the field, personally initiating contact with potential customers and strategic referral partners. I am comfortable reaching out by phone and visiting my customers' place of business:SelectYesNoI enjoy spending time out in the community creating awareness for my business. Attending several networking events on a monthly basis such as the chamber of commerce, trade shows, industry organization events where potential customers and strategic referral partners network. I can walk into an event and walk out having initiated contact with several potential customers or strategic referral partners:SelectYesNoMy retail location and/or advertising (print, tv, radio,social media) is the primary prospecting strategy that draws customers to me. Once a potential customer has called me or walked into my store, I am comfortable interacting with him/her, answering questions, asking for the sale, and training my staff to do the same:SelectYesNo JUDICIAL INFORMATIONHave you or your spouse been involved in a bankruptcy?*SelectYesNoHave you or your spouse been convicted of a crime?*SelectYesNoAre you under any type of criminal investigation?*SelectYesNoAre you or your spouse subject to any civil lawsuits or judgements?*SelectYesNoPlease explain any affirmative answers to the previous questions. FinancesCash (Checking & Savings)*Stocks, Bonds, CDs*Home Market Value*Retirement Accounts*401k*IRA*Autos*Personal property*Money due you*Pensions*Other Assets*TOTAL ASSETSCredit Card Debt*Auto Debt*Mortgage Outstanding*Line of Credit*Accounts Payable*Other Debts*TOTAL LIABILITIESNET WORTH (Total Assets- Total Liabilities) FINAL THOUGHTS ON FINANCINGCash available for investment?Do you plan to have a partner?Do you plan to have investors?Will Partners/ Investors be active in the business?Other thoughts?Who do you know that would benefit from the services offered by the Franchise ConnectorsName Phone