Chicken Cottage
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Home
UK Franchise Opportunity
Our People
Investment
Training & Support
Territory
Next Steps
Blog
First Name
Last Name
Email Address
Your Age
No. of dependants
Dependants Ages
Spouse/Partner First Name
Spouse/Partner Last Name
Are you a British National?
No
Yes
How long have you been in the UK?
Home Phone Number
Mobile Phone Number
Address
Post Code
City
Education Level Achieved:
High School
College
Graduate
Post-Graduate
Your Education Level
Spouse/Partner Education Level
Current Job or Business Ownership Information
Your Employer
Current Position
Your Current Duties
Annual Income
Your Spouse/Partner Employer
Spouse/Partner Position
His/Her Current Duties
His/Her Annual Income
Have you or any of your family members ever owned a business?
No
Yes
Please describe the business and your experience
What attracts you to owning a business
How long have you been looking for a business
What businesses have you looked at so far
Why are you considering a change at this time
In what geographical areas would you like to own and operate your new business (list a few preferences)
Would you want to be involved in your business on a full-time or part-time basis
Part-Time
Full-Time
When would you like to start your new business
How would you rate your family's support of you starting a new business
What have you liked the most about your past employment
What have you liked the least about your past employment
What would you perceive as being your major strengths or weaknesses in managing a business
What major concerns or questions do you have about franchise ownership (if any)
Help us understand what you want your role in your business to be. Do you see it as being.....?
Do you own your own home?
No
Yes
Cash (current a/c & savings)
Investments
Stocks, Bonds
Accounts and Notes Receivable
Value of Other Property Owned (not including your main residence)
Value of your Main Residence (if owned)
Other Assets
Total Assets
Loans/Monthly payments
Car Loan
Other liabilities
Mortgage(s) payable on property
Secondary Mortgage(s)
Business Loans
VAT/PAYE liability
Unpaid Income Taxes
Secured Loans
Other liabilities & Debts
Notes Payable (Banks)
Notes Payable (Others)
Total Liabilities (Total Assets - Total Liabilities)
Cash Available for down payment in a business
If additional funds are needed to start a business, are they available to you?
No
Yes
Do you plan to have a partner?
No
Yes
Do you plan to have investors?
No
Yes
Will either your partner or investor be active in the business?
No
Yes
Do you have other sources of income other than your current salary(ies)?
How will you cover your living expenses as you build the business?
Have you or your spouse ever been involved in a personal or business bankruptcy?
Yes
No
Have you or your spouse ever been convicted of a crime?
Yes
No
Are you or your spouse under any type of criminal investigation?
Yes
No
Are you or your spouse currently involved in any pending lawsuits?
Yes
No
Are you or your spouse subject to any civil judgements?
Yes
No
Please explain any affirmative answers to the previous five questions
Additional Comments:
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