Self Assessment Profile:
Client Name: Home #: Work #:
Cell #: Email:
Address: City: State: Zip:
DOB: Veteran Y/N: _____General Health: ______Marital Status:
Spouse’s Name: Spouse’s Occupation:
Are you a US Citizen?: If not what country?:
Have you or your spouse ever been convicted of a felony? ______Total Dependents and ages:
Education:
Highest Level of Education achieved:
School/University Name: Year Graduated:
Degree:
Professional Experience:
Company: City:
Division: Employed From: To:
Company: City:
Division: Employed From: To:
Questionnaire:
1. Please describe what you are doing now and what is motivating you to search for a business? Is this business for yourself? You and your spouse or a partner? Is anyone else going to be involved in the decision/will you have partners? Please explain.
2. What is the highest number of employees you have managed? How many employees would be ideal for you? What kind of employees would you want (Blue/White Collar, College Students, etc)?
3. Assuming we find the right franchise, what is your ideal ownership situation? Manage the manager, owner operator, husband wife team?Do you want to work FT or PT? Do you desire to OWN a single unit or multi unit business?
4.Do you own any businesses now or have you in the past?What kind? Please explain.
5. What businesses do you like or have thought about? (List any and all that may apply). Please list your reasons why, in detail you have had any interest. Which franchisors have you spoken with recently? Have you ever read a Franchise Disclosure Document?
6. What industries do you NOT like (if any)?
7. Rank your core competencies (1=lowest-7=highest) in order of confidence & career experience.
Marketing: ______Sales: ______Customer Service: ______Administration: ______
Finance: ______Management: _____ Working w/your hands_____
8. What did you like most about your past or current jobs or businesses?
9. What did you like least about your past or current job experiences?
10. What is your current credit score?
11. Every business owner must be able to Market their own business regardless of their personality type. Do you prefer to have your customers come to you through local advertising you place to generate customers OR, do you prefer self-marketing and reaching out to potential customers through telephone, face to face sales calls or networking?
12. In the area of your greatest weakness (or task you least like), what area of business would you hire someone to perform for you on a day to day basis part or full time? Sales? Customer Service, Administration, Managing or Accounting?
13.Where do you prefer your business to be located? Include zip code and/or County! How open minded are you to your franchisor partner finding you the best location? Tell me about the area you live in general demographics of growth and income.
14. If you are gainfully employed, please describe your preference:to supplement your current income, slowly replace, transition, or completely break away.Please explain. Do you have any flexibility in your current job?
Financial Information - Composition Net Worth
Assets / LiabilitiesCash Liquid to invest: Checking/SavingsAccounts / Notes Payable to Banks:
Stocks & Bonds: / Notes Payable to Others:
Notes Receivable: / Mortgages on Real Estate:
Insurance (Cash Value): / Taxes/Assessments Payable:
Real Estate: / Other Liabilities:
Autos:
Other (Please itemize): / Total Liabilities:
Total Assets: / Total Assets - Total Liabilities = Net Worth:
Financial Information - Personal Income Statement
Source of income / currentAnnual Salary :
Spouse Salary: (if applicable)
Bonuses/Commissions:
Dividends/Interest:
Real Estate Income:
Other Income:
Total Income:
15. Assuming all businesses need time to ramp up to generate cash flow, how much do you need to make to cover household expenses? How much income do you need or expect from your business after year three?
16.Using the information from your composition of net worth worksheet,what is yourinvestment range (lowest to highest)? This will include a normal franchise fee; build out costs, equipment and working capital. Please discuss how you plan to fund your business?.
17. Being realistic, what are the top 3 things that are most important to you in the perfect business opportunity? (Examples include –Helping Others, Enjoyment, Passion for the industry, Lifestyle, Life Experiences, Entry Cost, Ease of Operation, Retirement, Build Business to Sell, Prestige, Time Commitment, Proximity to Home, Family Friendly Hours, Net Profit, Great Support from Corporate)
18. Do you want to sell a product or service? If a product, do you want a small amount, medium amount or large amount of inventory?
19. What are the TOP 3 business areas you really like doing (i.e. sales, marketing, customer service, management, networking, administration, finance, work with your hands)?
20.Knowing that businesses are not a passive investment, but living entities that need day to day attention, rate your work ethic on a scale of 1-10. (regardless if you are owner-operated or manage-the-manager.)
21. What are the personal things you love to do? (hobbies or other things that you like to do in your free time or have enjoyed in the past) i.e., automotive, health, fitness, nutrition, wellness, food, sports, recreation, technology and other things of personal interest. These desires will be integrated into the businesses options we select for you based on your profile.
22. Please rank the top five industry in your order of preference (#s to the left of category).
____Automotive ____Building/Home Repair ____Child/Education ____Coffee ____Cleaning Commercial
____Cleaning Residential ____Computer/Tech ____Consulting/Marketing or Management
____Dry Cleaning ____Employment ____Equipment ____Financial Services ____Fitness/Nutrition
____Food ____Hair Salons ____Health/Wellness/Spa ____Landscaping ____Maintenance ____Medical
______Moving ____Pack and Ship ____Pets____Printing/Signs ____Retail In Home ____Retail
____Seniors____Sports_____Storage
23. Do you prefer your clients/customers bebusinesses or the general public ? i.e. B2C or B2B.
24. Do you prefer a business that is home based, office, mobile, or brick and mortar?
25. Do you prefer a business that is older more established or one that is newer (has been around for less than 5 years)?
26. Is a repeat client base important to you?
27. Are you faster paced or slower paced?
Are you extroverted or introverted?
Are you more task oriented or people oriented?
28. How committed are you to owning your own business? (Put an X with 10 as the highest)
1 2 3 4 5 6 7 8 9 10
29. What is your time frame for wanting to start your business?
30. What are your fears around getting into a business now?
31. Is there anything else you would like to share that will assist in finding the right franchise?
Applicant: Please Read & Sign
It is understood that the purpose of this questionnaire is for information only and is in no way binding upon the franchise company, its agents, representatives or the applicant. It is, however, understood that the applicant supplies this information contained herein to the best of his knowledge and ability and that the franchise company, its agents, representatives, rely on this fact in assessing the desirability and qualifications of the applicant.
Name:
Signature: Date: