Form

First Name*

Last Name*

Email*

Where Are You Located?*

Do you think you are ready to start a business?*

Yes

No

Do you have support for business from family and friends?*

Yes

No

Have you ever taken a small business course or seminar?*

Yes

No

Would people who know you say you are entrepreneurial?*

Yes

No

Do you like to make your own decisions?*

Yes

No

Do others turn to you for help in making decisions?*

Yes

No

Do you enjoy competition?*

Yes

No

Do you have willpower and self-discipline?*

Yes

No

Do you plan ahead?*

Yes

No

Do you like people?*

Yes

No

Do you get along with others?*

Yes

No

Would people who know you say you are outgoing?*

Yes

No

Are you aware that running your own business may require working more than 12 hours a day, six days a week, and maybe Sundays and holidays?*

Yes

No

Do you have the physical stamina to handle a "self-employed" workload and schedule?*

Yes

No

Do you have the emotional strength to deal effectively with pressure?*

Yes

No

Are you prepared, if needed, to temporarily lower your standard of living until your business is firmly established?*

Yes

No

Are you comfortable bearing the risk of potentially losing a portion of your savings?*

Yes

No

Do you know what basic skills you will need in order to have a successful business?*

Yes

No

Do you possess those skills?*

Yes

No

Do you feel comfortable using a computer?*

Yes

No

Have you ever worked in a managerial or supervisory capacity?*

Yes

No

Do you think you can be comfortable hiring, disciplining and delegating tasks to employees?*

Yes

No

If you discover you do not have the basic skills needed for your business, will you be willing to delay your plans until you have acquired the necessary skills?*

Yes

No