Clone of FCC Franchise Questionnaire

FCC Franchise Questionnaire

Please take a few minutes to complete the Franchise Questionnaire so we can move to the next step in the discovery process. This information is required to proceed, remains confidential, and does not obligate you to anything.
Contact Information
Name*

First NameLast Name
Email*
Cell Phone Number*
Format: (000) 000-0000.
Age
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
YesNo
Partner's Name

First NameLast Name
Partner's Email
example@example.com
Partner's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Your Consultant's Name*

First NameLast Name
Your Consultant's Email (Please Verify Spelling)*
Name@TheFranchiseConsultingCompany.com
Business Experience, Timeline, Ownership Role
Replace my current incomeBuild long-term wealthMore freedom / control of scheduleDiversify investmentsBuild something for my familyOther
ASAP (0–3 months)3–6 months6–12 monthsJust researching for now
Owner-operator (I run the business)Manager model (I manage a team)Semi-absentee (I keep my job)Passive investor
Sales / Business DevelopmentOperations / ManagementCorporate leadershipSkilled trades / technicalEntrepreneur / business ownerFinance / professional servicesOther
YesNo
If yes, what type?
Industry Interest
AutomotiveBusiness ServicesEducationFitnessFood/Beverage/RestaurantHome ServicesIndustrialPersonal ServicesPet ServicesRetailSenior CareWellness/Medical
Business Type, Location, Veteran Status
RetailHome BasedVan BasedSmall Office Based
Location 1 — Where would you like to open a business? (City / State)*
Location 2 — Where would you like to open a business? (City / State)
YesNo
If yes, what type?
YesNo
Please explain any affirmative answers to the previous questions.
YesNo
Section 12 — Financial Qualification
Liquid Capital Available to Invest?*
Estimated Net Worth?*
720+680-719620-679<620
YesNo

Assets

Rows	Amount
Cash (Check & Savings)
Stocks, Bonds, CDs
Home Market Value
401K
IRA
Roth IRA
Autos
Personal Property
Money Due You
Yearly Pensions

Total Assets

Liabilities

Rows	Amount
Credit Card Debt
Auto Debt
Mortgage Outstanding
Mortgage Outstanding
Line of Credit Outstanding Balance
Accounts Payable
Other Debts

Total Liabilities
Net Worth
YesNo
How much do you currently have in your 401K or IRA?
What would the ideal business look like for you?
Confidentiality & Non-Disclosure Acknowledgment
By submitting this questionnaire and participating in discussions with The Franchise Consulting Company (“FCC”) and its consultants, you acknowledge that you may be introduced to confidential and proprietary information relating to franchise systems, business models, financial performance, operating procedures, and other sensitive materials. You agree that any confidential information shared with you by FCC, its consultants, or franchisor partners will be used solely for the purpose of evaluating potential franchise opportunities. You further agree that you will not disclose, share, reproduce, or distribute any confidential information provided to you with any third party without prior written consent from the applicable party. You also agree not to bypass FCC or its consultants to directly contact or pursue franchise opportunities introduced to you during this process without FCC’s involvement. Nothing in this agreement obligates you to purchase a franchise or enter into a business relationship. FCC consultants are compensated by franchisors once a franchise agreement is executed. You will never be asked to pay your consultant directly.*

I acknowledge and agree to the confidentiality terms above and confirm that the information I have provided is accurate to the best of my knowledge.
Signature
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FCC Franchise Questionnaire

Contact Information

Business Experience, Timeline, Ownership Role

Industry Interest

Business Type, Location, Veteran Status

Section 12 — Financial Qualification

Confidentiality & Non-Disclosure Acknowledgment