YOUR INFORMATION
Please take a few minutes to complete The FCC Confidential Questionnaire as thoroughly as possible. This information will greatly assist your consultant in identifying franchise opportunities that best match your requirements.
Name
*
First Name
Last Name
Age
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Cell Phone Number
*
-
Area Code
Phone Number
Your E-mail
*
Your Consultant's Name
*
First Name
Last Name
Your Consultant's Email (Please Verify Spelling)
*
Name@TheFranchiseConsultingCompany.com
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FAMILY INFO
Spouse's Name
First Name
Last Name
Children?
What Ages?
Do you have Native American heritage? You may be eligible for special loans from the SBA.
Yes
No
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PROFESSIONAL INFORMATION
Your Employer
*
Your Job Title
*
Your Yearly Income
*
Your LinkedIn Profile
Example - https://www.linkedin.com/in/jsmith/
Upload Your Resume
Browse Files
Cancel
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BUSINESS EXPERIENCE
Have you ever owned a business?
*
How long have you been looking for a business?
*
Why are you looking now?
What else would you like to discuss?
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RATE YOUR FRANCHISE KNOWLEDGE
What franchises have you looked at?
What did you like / dislike about them?
#1 most important attribute of a business? (Other than Profit.)
Time frame for being in business?
*
Who will make the decision?
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WHERE DO YOU WANT TO OPEN A BUSINESS?
Location #1
*
Location #2
Location #3
Other?
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INDUSTRY CATEGORY INTERESTS
Accounting / Financial / Payroll
1
2
3
4
5
No Interest
Strong Interest
1 is No Interest, 5 is Strong Interest
Automotive
1
2
3
4
5
No Interest
Strong Interest
1 is No Interest, 5 is Strong Interest
Cannabis
1
2
3
4
5
No Interest
Strong Interest
1 is No Interest, 5 is Strong Interest
Child Education / Development
1
2
3
4
5
No Interest
Strong Interest
1 is No Interest, 5 is Strong Interest
Cleaning / Maintenance
1
2
3
4
5
No Interest
Strong Interest
1 is No Interest, 5 is Strong Interest
Computer / Internet
1
2
3
4
5
No Interest
Strong Interest
1 is No Interest, 5 is Strong Interest
Custom Clothing
1
2
3
4
5
No Interest
Strong Interest
1 is No Interest, 5 is Strong Interest
Direct Marketing
1
2
3
4
5
No Interest
Strong Interest
1 is No Interest, 5 is Strong Interest
Education
1
2
3
4
5
No Interest
Strong Interest
1 is No Interest, 5 is Strong Interest
Entertainment / Recreation
1
2
3
4
5
No Interest
Strong Interest
1 is No Interest, 5 is Strong Interest
Financial Services
1
2
3
4
5
No Interest
Strong Interest
1 is No Interest, 5 is Strong Interest
Fitness
1
2
3
4
5
No Interest
Strong Interest
1 is No Interest, 5 is Strong Interest
Food / Beverage
1
2
3
4
5
No Interest
Strong Interest
1 is No Interest, 5 is Strong Interest
Health / Beauty / Nutrition
1
2
3
4
5
No Interest
Strong Interest
1 is No Interest, 5 is Strong Interest
Healthcare / Senior Care
1
2
3
4
5
No Interest
Strong Interest
1 is No Interest, 5 is Strong Interest
Home Services / Property Services
1
2
3
4
5
No Interest
Strong Interest
1 is No Interest, 5 is Strong Interest
Laundry / Dry Cleaning
1
2
3
4
5
No Interest
Strong Interest
1 is No Interest, 5 is Strong Interest
Medical
1
2
3
4
5
No Interest
Strong Interest
1 is No Interest, 5 is Strong Interest
Moving / Storage
1
2
3
4
5
No Interest
Strong Interest
1 is No Interest, 5 is Strong Interest
Personal Services / Beauty
1
2
3
4
5
No Interest
Strong Interest
1 is No Interest, 5 is Strong Interest
Pet Services / Pet Care
1
2
3
4
5
No Interest
Strong Interest
1 is No Interest, 5 is Strong Interest
Print / Copy / Signage
1
2
3
4
5
No Interest
Strong Interest
1 is No Interest, 5 is Strong Interest
Property Management
1
2
3
4
5
No Interest
Strong Interest
1 is No Interest, 5 is Strong Interest
Real Estate
1
2
3
4
5
No Interest
Strong Interest
1 is No Interest, 5 is Strong Interest
Recycle / Reuse / Green
1
2
3
4
5
No Interest
Strong Interest
1 is No Interest, 5 is Strong Interest
Restaurant
1
2
3
4
5
No Interest
Strong Interest
1 is No Interest, 5 is Strong Interest
Retail
1
2
3
4
5
No Interest
Strong Interest
1 is No Interest, 5 is Strong Interest
Sales
1
2
3
4
5
No Interest
Strong Interest
1 is No Interest, 5 is Strong Interest
Security
1
2
3
4
5
No Interest
Strong Interest
1 is No Interest, 5 is Strong Interest
Staffing / Recruiting
1
2
3
4
5
No Interest
Strong Interest
1 is No Interest, 5 is Strong Interest
Training / Management Training
1
2
3
4
5
No Interest
Strong Interest
1 is No Interest, 5 is Strong Interest
Wellness / Spa / Dayspa
1
2
3
4
5
No Interest
Strong Interest
1 is No Interest, 5 is Strong Interest
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OFFICE TYPE PREFERENCES
Retail
1
2
3
4
5
No Interest
Strong Interest
1 is No Interest, 5 is Strong Interest
Home Based
1
2
3
4
5
No Interest
Strong Interest
1 is No Interest, 5 is Strong Interest
Van Based
1
2
3
4
5
No Interest
Strong Interest
1 is No Interest, 5 is Strong Interest
Small Office Based
1
2
3
4
5
No Interest
Strong Interest
1 is No Interest, 5 is Strong Interest
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JUDICIAL INFORMATION
Have you, your spouse, or partner(s) been involved in a bankruptcy?
*
Have you, your spouse, or partner(s) been convicted of a crime?
*
Are you, your spouse, or partner(s) under any type of criminal investigation?
*
Please explain any affirmative answers to the previous questions.
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FINANCIAL STATEMENT - ASSETS
All franchises require financial information as part of the pre-qualification process. Based on your numerical answers, the form automatically calculates. Assets - Liabilities = Net Worth.
Cash (Checking & Savings)
Please enter numbers only - 5 / 500 / 5000 / 500000 / etc.
Stocks, Bonds, CDs
Home Market Value
401(k)
IRA
Roth IRA
Autos
Personal Property
Money Due You
Yearly Pensions
Other Assets
Total Assets
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FINANCIAL STATEMENT - LIABILITIES
All franchises require financial information as part of the pre-qualification process. Based on your numerical answers, the form automatically calculates. Assets - Liabilities = Net Worth.
Credit Card Debt
Please enter numbers only - i.e. 50000 / 100000 / etc.
Auto Debt
Mortgage Outstanding
Line of Credit Outstanding Balance
Accounts Payable
Other Debts
Total Liabilities
Net Worth (Total Assets minus Total Liabilities)
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FINAL THOUGHTS ON FINANCING
Capital Available for Investment?
*
Please enter numbers only - i.e. 50000 / 100000 / etc.
Credit Score
*
Do you plan to have a partner and/or investor?
Will partners / investors be active in the business?
Other thoughts?
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YOUR PREFERENCES - 20 QUESTIONS
1. I like new challenges
1
2
3
4
5
Totally Disagree
Totally Agree
1 is Totally Disagree, 5 is Totally Agree
2. I am fairly at ease in difficult situations
1
2
3
4
5
Totally Disagree
Totally Agree
1 is Totally Disagree, 5 is Totally Agree
3. Where others see problems, I see possibilities
1
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5
Totally Disagree
Totally Agree
1 is Totally Disagree, 5 is Totally Agree
4. I always worry about what others will think before doing something important
1
2
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4
5
Totally Disagree
Totally Agree
1 is Totally Disagree, 5 is Totally Agree
5. I am fairly curious and I am continually in search of discovery
1
2
3
4
5
Totally Disagree
Totally Agree
1 is Totally Disagree, 5 is Totally Agree
6. I am a lot less effective in stressful situations
1
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5
Totally Disagree
Totally Agree
1 is Totally Disagree, 5 is Totally Agree
7. I want to build something that will be recognized publicly
1
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5
Totally Disagree
Totally Agree
1 is Totally Disagree, 5 is Totally Agree
8. When faced with difficulties, I look for alternative solutions
1
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5
Totally Disagree
Totally Agree
1 is Totally Disagree, 5 is Totally Agree
9. For me, what counts is action
1
2
3
4
5
Totally Disagree
Totally Agree
1 is Totally Disagree, 5 is Totally Agree
10. When I take on a project I have confidence that I will carry it out successfully
1
2
3
4
5
Totally Disagree
Totally Agree
1 is Totally Disagree, 5 is Totally Agree
11. I shoot for excellence in everything I do
1
2
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5
Totally Disagree
Totally Agree
1 is Totally Disagree, 5 is Totally Agree
12. I try to be the first or the best in my area of competency
1
2
3
4
5
Totally Disagree
Totally Agree
1 is Totally Disagree, 5 is Totally Agree
13. I am capable of seeing many solutions to a problem
1
2
3
4
5
Totally Disagree
Totally Agree
1 is Totally Disagree, 5 is Totally Agree
14. For me, everything is possible if I believe I can do it
1
2
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5
Totally Disagree
Totally Agree
1 is Totally Disagree, 5 is Totally Agree
15. It is easy for me to motivate others to work with me
1
2
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4
5
Totally Disagree
Totally Agree
1 is Totally Disagree, 5 is Totally Agree
16. After a failure, I am able to pick myself up and start over
1
2
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4
5
Totally Disagree
Totally Agree
1 is Totally Disagree, 5 is Totally Agree
17. I like to lead others
1
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5
Totally Disagree
Totally Agree
1 is Totally Disagree, 5 is Totally Agree
18. I am always in the midst of launching new projects
1
2
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5
Totally Disagree
Totally Agree
1 is Totally Disagree, 5 is Totally Agree
19. I really enjoy situations where there are rules to respect
1
2
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4
5
Totally Disagree
Totally Agree
1 is Totally Disagree, 5 is Totally Agree
20. Today, it takes money to make money
1
2
3
4
5
Totally Disagree
Totally Agree
1 is Totally Disagree, 5 is Totally Agree
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CONSULTANT COMPENSATION
Typically consultants are compensated when you sign a franchise agreement and you have paid the franchise fee to the franchisor. With certain brands, the consultant is paid by the franchisor as a percentage of the franchise fee or by other compensation, such as a share of the profits. You will never be asked to pay a consultant directly.
*
I Agree
Submit
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