| Please note that all fields followed by an asterisk must be filled in. |
First Name* First Name* |
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Last Name* Last Name* |
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E-mail Address* E-mail Address* |
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Street Address* Street Address* |
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City* City* |
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Zip/Postal Code* Zip/Postal Code* |
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Home Phone* Home Phone* |
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Postal Address** Postal Address** |
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Why should we consider you as a Coffee News Licensee? ** Why should we consider you as a Coffee News Licensee? ** |
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How did you hear about this questionnaire? ** How did you hear about this questionnaire? ** |
| Other please specify | |
Do You Have Extenisve Selling Experience? This is a critical question and you need to tell us if you want to be considered! ** Do You Have Extenisve Selling Experience? This is a critical question and you need to tell us if you want to be considered! ** |
If Yes On Extensive Sales Experience Please Elaborate: ** If Yes On Extensive Sales Experience Please Elaborate: ** |
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Q1 Are you regarded by those you know as: ** Q1 Are you regarded by those you know as: ** |
Q2 Are you regarded by those who know you as: ** Q2 Are you regarded by those who know you as: ** |
Q3 Would you say that: ** Q3 Would you say that: ** |
Q4 Would you say that: ** Q4 Would you say that: ** |
Q5 Which of following most accurately describes you? ** Q5 Which of following most accurately describes you? ** |
Q6 Would you say that: ** Q6 Would you say that: ** |
Q7 Would you say that: ** Q7 Would you say that: ** |
Q8 Would you say that:* Q8 Would you say that:* |
Q9 Are you regarded by people who know you as:* Q9 Are you regarded by people who know you as:* |
Q10 If you go into business would you: * Q10 If you go into business would you: * |
Q11 Would you say that your total personal assets and savings together: * Q11 Would you say that your total personal assets and savings together: * |
Q12 Do you feel that your spouse: * Q12 Do you feel that your spouse: * |
Q13 Which of the following is true of you? * Q13 Which of the following is true of you? * |
Q14 Is your main reason for wanting to be a franchisee: * Q14 Is your main reason for wanting to be a franchisee: * |
Q15 Do you feel that, in taking a franchise: * Q15 Do you feel that, in taking a franchise: * |
Q16 Is your prior work experience:* Q16 Is your prior work experience:* |
Q17 In running your own business, would you: ** Q17 In running your own business, would you: ** |
Q18 Do you feel that: ** Q18 Do you feel that: ** |
Q19 Do you feel that it usually pays to: ** Q19 Do you feel that it usually pays to: ** |
Q20 Do you feel that: ** Q20 Do you feel that: ** |
Which Dog discribe you best? ** Which Dog discribe you best? ** |
Why did you select this dog? ** Why did you select this dog? ** |
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The results are private and will not be shared with anyone! Do you agree that these results will not automatically qualify you as a franchisee and that Coffee News cannot be held liable our or your decisions and actions regarding the questionnaire results? ** The results are private and will not be shared with anyone! Do you agree that these results will not automatically qualify you as a franchisee and that Coffee News cannot be held liable our or your decisions and actions regarding the questionnaire results? ** |