CQ Confidential Questionnaire (CQ)🔒 Secure Page – Your information is digitally secured and private.Franocity QuestionnaireIntroductionFirst NameLast NameAgeSpouse First NameSpouse Last NameSpouse AgeHow many children do you have?What are your children ages?EmailSpouse EmailAddressStreet AddressCityStateZip CodeHome PhoneWork PhoneCell PhonePreviousNextPersonal InformationYour OccupationEmployerPositionIncomeBusiness ExperienceHave you ever been a business owner?- Select -YesNoRate your Franchise KnowledgeWhat franchise concepts haveyou looked at?1.2.3.Where do you want to open your franchise? Enter a County or City, StateLocation 1Location 2Location 3PreviousNextYour Personal Interests / Your Spouse/Partner Interests (Scale of 1-5) 1=No Interest 5=Strong InterestAdvertising & MarketingYou- Select -12345Spouse/Partner- Select -12345AutomotiveYou- Select -12345Spouse/Partner- Select -12345Beauty & Personal CareYou- Select -12345Spouse/Partner- Select -12345Building & ConstructionYou- Select -12345Spouse/Partner- Select -12345Education & ChildrenYou- Select -12345Spouse/Partner- Select -12345Entertainment & RecreationYou- Select -12345Spouse/Partner- Select -12345RetailYou- Select -12345Spouse/Partner- Select -12345Real EstateYou- Select -12345Spouse/Partner- Select -12345Senior ServicesYou- Select -12345Spouse/Partner- Select -12345SportsYou- Select -12345Spouse/Partner- Select -12345PreviousNextYour Personal Interests / Your Spouse/Partner Interests (Scale of 1-5) 1=No Interest 5=Strong InterestFinancial ServicesYou- Select -12345Spouse/Partner- Select -12345Health Care & FitnessYou- Select -12345Spouse/Partner- Select -12345ManufacturingYou- Select -12345Spouse/Partner- Select -12345Online & TechnologyYou- Select -12345Spouse/Partner- Select -12345Pet ServicesYou- Select -12345Spouse/Partner- Select -12345Restaurants & FoodYou- Select -12345Spouse/Partner- Select -12345Transportation & StorageYou- Select -12345Spouse/Partner- Select -12345TravelYou- Select -12345Spouse/Partner- Select -12345Service BusinessesYou- Select -12345Spouse/Partner- Select -12345Training & ConsultingYou- Select -12345Spouse/Partner- Select -12345PreviousNextYour Professional Interests / Your Spouse/Partner Interests (Scale of 1-5) 1=No Interest 5=Strong InterestSalesYou- Select -12345Spouse/Partner- Select -12345Employee ManagementYou- Select -12345Spouse/Partner- Select -12345Organizational / HRYou- Select -12345Spouse/Partner- Select -12345FinanceYou- Select -12345Spouse/Partner- Select -12345OperationsYou- Select -12345Spouse/Partner- Select -12345Information TechnologyYou- Select -12345Spouse/Partner- Select -12345Only complete this section if Net Worth is greater than $1,000,000Please select all that apply.- Select -YesNoPreviousNextJudicial InformationHave you or your spouse ever been involved in a bankruptcy?- Select -YesNoHave you or your spouse ever been convicted of a crime?- Select -YesNoAre you under any type of criminal investigation?- Select -YesNoAre you or your spouse subject to any civil lawsuits or judgements?- Select -YesNoPlease explain any affirmative answers to the previous questions.PreviousNextFinancial StatementAssetsCash (Checking & Savings)Stocks,Bonds,CDSHome Market Value401kIRAAutosPersonal PropertyMoney Due YouOther AssetsTotal AssetsNet WorthLiabilitiesCredit Card DebtAuto DebtMortgage OutstandingOther DebtsTotal LiabilitiesPreviousNextFinal Thoughts on FinancingCash Available for Investment?Do you plan to have a partner?- Select -YesNoDo you plan to have investors?- Select -YesNoWill partners/ investors be active in the business?- Select -YesNoOther thoughts?PreviousSubmit Form
