About Us
Contact
Aust Ph:
1800 153 483
NZ Ph:
0800 000 907
Please complete this questionnaire so we can both check whether this business may work for you.
Tell us about You
Name
Age
Email
Address
Phone
What business are you considering?
Please Choose a Business
Please choose a business.
Your History
Past Experience
List your previous work experience with a brief description of your role & the years you worked
Previous Business Experience
List any businesses you have owned or been a partner in, the years you were involved & the nature of the business
Have you ever been declared bankrupt?
Please Choose Yes (and enter detail below), or No
No
Yes
Have you ever been involved in a contract dispute?
Please Choose Yes (and enter detail below), or No
No
Yes
Have you ever been convicted of a criminal offense? *
Please Choose Yes (and enter detail below), or No
No
Yes
Next
Your Finance
How are you intending to finance this business?
Please Choose One
Loan
Self
Other
Do you own your own home?
Please Choose Yes or No or Other
Yes
No
Other
Your Health
Any issues that may affect your ability to do this work
Please Choose Yes or Other (and enter detail), or No
No
Yes
Other
Health Issues
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General Questions
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