* All fields are required.
Title -Select One- Mr Mrs Ms Miss
Forename
Surname
Address
Post Code
Daytime telephone
Evening telephone
Mobile
Email
How did you hear about us? (for marketing purposes)
Why are you considering a franchise?
What skills do you have to help you succeed in business?
What are you looking to achieve running your own business?
What income do you want to earn in year one £
Approximately when would you wish to start?
Ready now within 3 months within 6 months
Can you manage your own time and work to a system? Yes No
Can you positively influence others in a working environment? Yes No
Can you work with figures? Yes No
Are you e-mail and computer literate? Yes No
Are you in good health? Yes No
Do you have any health issues that may affect your running of a business? Yes No
Are you receiving or expecting to receive any hospital treatment? Yes No
Do you have a keen interest in property? Yes No
Do you have the desire to build your own business? Yes No
Have you previously run your own business? Yes No
Do you have the support of any immediate family? Yes No
Are you prepared to work hours to suit your clients? Yes No
Do you have the personality to work on your own? Yes No
Do you own a presentable and reliable car? Yes No
Do you have any other business interests? Yes No
Would you want a larger area in the future? Yes No
Level of liquid capital available £
Do you need help with financing? Yes No
Do you own your home? Yes No
Have you accounted for start up cash flow? Yes No
I certify that the above information is to the best of my knowledge true and accurate.