Confidential Questionnaire

The purpose of this Confidential Questionnaire is to provide general information to help evaluate your qualifications as a potential KitchenSolvers Franchisee. Please note that this is not an application. If you qualify and a mutual interest develops, we may request additional information. Please print or type the information requested in the boxes below. To advance to the next area where information is required, please select the "Tab" key. Once you have completed the information in this form please hit submit at the bottom and your completed form will be sent directly to us.

Personal Data
First Name: Last Name:
Street Address: City:
State/Province: Country:
Zip/Postal Code: Day Telephone:
Evening Telephone: Email:
Best Time to Call: Date of Birth:
Marital Status: Spouse Name:
Number of dependants & ages: Do you own your home?:
How long at your current residence?:
Your Business Experience
Have you or your family members ever owned a business?
What attracts you to owning a business?
How long have you been looking for a business?
What have you looked at so far?
Why do you feel now is right time for you to start a business?
Do you plan to have any equity partners?
If yes, please identify all potential partners below:
Name:
Active in franchise?
Address:
Phone number:
Name:
Active in franchise?
Address:
Phone number:
Your business location preference (city):
First Choice:
Second Choice:
Preliminary Financial Information
Assets: $
Home, Savings, Retirement funds, Investments, Income Properties etc.
Liabilities: : $
Net Worth: $
Liquid Assets/Cash: $
How soon would you like to start your own business?
How much money are you comfortable/able to invest in your own business at this time? $
Other Information
How will having your own business help you reach your business and personal goals?
Your Signature is Required
I certify that the information provided on this questionnaire is complete and accurate. It is understood that this is a preliminary application and does not bind any party to any obligation. We thank you for your interest in the KitchenSolvers franchise opportunity.
Signature : Please type your full name here.
Date:
Enter Code from Captcha:

Please enter the code shown above and click Submit.