Initial Worksheet
Contact Information
Contact Name
*
First Name
Last Name
Spouse/Partner Name
First Name
Last Name
Phone Number
*
Format: (000) 000-0000.
Email
*
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Current Industry
Current Position
Education
Highest Level of Management
Number of People Managed
How long have you been looking for a business?
Just Started
0-3 Months
3-6 Months
6-12 Months
Over 12 Months
What businesses have been of interest?
What businesses have NOT been of interest?
Timeline to DECIDE on a business?
ASAP
0-3 Months
3-6 Months
6-12 Months
Over 12 Months
Timeline to be OPEN for business?
ASAP
0-3 Months
3-6 Months
6-12 Months
Over 12 Months
BUSINESS AND MANAGEMENT GOALS
How will you spend your time per week on the business?
Full time
Part time
Passive
When are you willing to spend time on the business (check all that apply):
Business Week
Evenings
Weekends
Will you stay in your job?
Yes
No
Do you want to be heavily involved day to day?
Yes
No
Will this be your primary source of income?
Yes
No
Have you ever owned a business?
Yes
No
If yes, elaborate:
WORK ENVIRONMENT
Geographic Preference
Setting - select all that apply
Office
Store
Home
Call on Customers
Finding Customers - select all that apply
They come to you
You go to them
Selling style - select all that apply
Cold Call
Network
Present
Employees - select all that apply
Lots (greater than 20)
11 to 20
5 to 10
1 to 4
None
RISK TOLERANCE
Do you want a large, established, well known franchise?
Yes
No
Does a newer, emerging franchise appeal to you?
Yes
No
Would you compromise on location?
Yes
No
INDUSTRIES OF INTEREST
Automotive
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Beauty/Personal Care/Spa
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Business Services
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Child Entertainment
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Cleaning in general
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Coffee
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Commercial Cleaning
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Computer/Technology
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Education
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Environment/Green
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Financial
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Fitness
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Food - Restaurant
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Food - Snack/Ice cream
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Hairstyling
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Healthcare
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Home Repair
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Home Improvement
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Laundry/Dry Cleaning
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Light Manufacturing
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Maid Service
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Management Consulting
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Medical Services/Supply
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Marketing/Advertising
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Packing and Shipping
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Pets
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Printing
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Real Estate
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Restoration
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Retail
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Senior/Baby Boomer
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Signs
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Sports
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Staffing/Employment
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
FINANCIALS
Current Income
*
Cash
*
Home Equity
*
Retirement
*
Life Insurance (Cash Value Only)
*
Other Real Estate Equity
*
Other
*
GOALS
Year 1 Income Goal
*
Year 2 Income Goal
*
Year 3 Income Goal
*
What do you want to be different by going into business?
*
What do you love about your current job or business?
*
What do you despise about your current job or business?
*
What else should we know?
*
Are you currently working with another franchise coach to find a business?
*
Yes
No
Submit
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