Personal Confidential Questionnaire

We want to understand your background and goals. Complete this form to move to the next stage of the Franchise Discovery process. No pressure, no obligation. We'll read what you send us, then contact you to schedule a phone call and answer all your questions. Heads up: our franchise offerings are selective, so brief or vague responses will be sent back.

Email*

First name*

Last name*

Mobile phone number*

Phone number

Street address*

City*

State/Province*

Country*

Postal code*

What best describes you?*

Home Ownership*

What is your current Employer Name, a brief Description of your Responsibilities, and length of employment?*

Highest Education Level completed?*

Approximate Credit Score?*

Current Annual Income*

Total Assets and Investments*

Total Debts*Examples: mortgage, vehicle loans, other property debts, or any loans, debts or accounts payable over 2 years until end of term.

Liquid Capital Available (Total you have access to)*

What portion of all of your capital and lines of credit are you comfortable using in this franchise venture?

How would you finance your franchise?*Describe where your available capital or lines of credit is coming from.

Will you have a business partner, spouse involvement, or other person involved?

Have you or any company you have owned or managed ever gone through bankruptcy or compromised a debt?*

Are you now, or have you ever been party to any lawsuit - either as defendant or plaintiff?*

Have you ever been convicted of a felony or misdemeanor (other than a traffic violation) or are currently involved in a criminal proceeding?*

Why are you interested in owning a Qualicare franchise?

Why do you think this franchise will enable you to reach your personal goals?

Summarize your personal characteristics and experiences that would contribute to your success as a Qualicare franchisee:

Area/Location Preference #1

Top Questions you have about the opportunity - Question #1

Personal Confidential Questionnaire

Questions? Book a Call Now