FRANCHISE EVALUATION FORM

                                                                               
Based upon previous experience, what did you like most about your past jobs or businesses:
         
-------------------------------------------------------------------------------------------

-------------------------------------------------------------------------------------------         
                  
What did you like least about your past jobs or businesses:

--------------------------------------------------------------------------------------------
         
--------------------------------------------------------------------------------------------        
         
--------------------------------------------------------------------------------------------         
         
Would members of your family be involved in your business?----------------------------------

         
Based on past business experience, my strengths are-----------------------------------------
         
--------------------------------------------------------------------------------------------

--------------------------------------------------------------------------------------------         
                  
Based on past business experience, my weaknesses are----------------------------------------

--------------------------------------------------------------------------------------------

--------------------------------------------------------------------------------------------
                  
Additional information helpful to the recommendation of a business suited to my personal and financial goals:

--------------------------------------------------------------------------------------------

--------------------------------------------------------------------------------------------
         
Rate yourself on a scale of 1 to 5 (5 is the strongest)
Independent 	1 2 3 4 5
Motivated   	1 2 3 4 5
Communicator	1 2 3 4 5
Creative    	1 2 3 4 5
Technical   	1 2 3 4 5
Intellectual	1 2 3 4 5
Problem-solver  1 2 3 4 5
Self-confident	1 2 3 4 5
Energetic	1 2 3 4 5
Patient   	1 2 3 4 5
Money-oriented  1 2 3 4 5
Management 	1 2 3 4 5
People-oriented 1 2 3 4 5
Achiever	1 2 3 4 5
Detailed	1 2 3 4 5
Determined	1 2 3 4 5
Crisis Manager	1 2 3 4 5
Leader		1 2 3 4 5