Confidential Franchise Questionnaire
The purpose of this request for consideration is for general information in evaluating your qualifications to be awarded a Nature's Way Cafe Franchise. This is not an application. Should you qualify and a mutual interest develops, we will request additional information. This Questionnaire in no way obligates either you or Nature's Way Franchising Group, Inc. in any manner. All information contained in, and pursuant to, this Questionnaire will be held in strictest confidence. This informa­ tion has been provided for the specific purpose of obtaining a Franchise and is for the internal use in rendering a decision by Nature ' s Way Franchise Group, Inc.

Personal Data.:

Name:
email (required) :
Soc security#:
City:
State:
Zip:
Business Phone: xxx-xxx-xxxx
Home Phone: xxx-xxx-xxxx
Best Time to Call:
Date of Birth : xx/xx/xxxx
Marital Status :
Spouse Name :
Number of Dependents :
Ages :
How did you become aware of this franchise opportunity?:
Business Experience:

Please list company name, type of business, position held, dates position held, and your most significant accomplishments.

Present/Most Recent Position :

Previous Position :

Have you ever owned a business?

If yes what type :

Other business affiliations Officer, Director, Partner, Etc :

Business and Management Goals:

Do you plan to devote full time to this business venture:

Will your spouse be active in the franchise:

Do you plan to have equity partners:

If yes, please identify all partners :
Name, Address, Telephone No. , Active in franchise


Number of units planned :

year 1-2 :

year 3-4 :

year 5-6 :

Planned date to open first unit :

Location preference 1st choice :

Location preference 2nd choice :

Location preference 3rd choice :

Preliminary Financial Disclosure:

Assets :

Liabilities :

Net Worth :

Unencumbered Liquid Assets Available:

Equity In :

Personal
Residence $:

Other Real Estate $

Other Information:

Why do you believe you can successfully operate a Nature's Way Cafe Franchise?

How will the Nature's Way Cafe Franchise opportunity help you in achieving your business and personal goals?

Additional information or comments that you might like to share with us in evaluating your request for consideration: