Let's Get Acquainted

First name

Last name

Street address

Address (cont.)

City

State/Province

Zip/Postal code

Country

Work Phone

Home Phone

E-mail

If married:

Do you live in a:

Do you: Own Rent

Where did you hear about Pets Are Inn?

If you used a search engine to find Pets Are Inn,
Which search engine did you use?

Present Employment of Business:

EMPLOYMENT OR BUSINESS EXPERIENCE
Dates (mo/yr-mo/yr)	Firm	Position	Annual Income ($)

Have you ever been self-employed? (describe)

Do you own a franchise? (describe)

Are you presently connected with the pet business in any way?
Yes No ( If yes please describe )

Education:

How is you health?

Adaptability: How would you rate yourself in each of the following questions? Be candid.
(Outstanding = 5; Poor = 1)

As an organizer, business associates usually consider me to be:	54321
My ability to work independently without relying on others:	54321
My determination to succeed is:	54321
Others consider my ability to keep records to be:	54321
Past employers have considered my "Self-Starting" ability to be:	54321
Past employers have rated my management talents as:	54321
My ability to meet and relate to people from all walks of life is:	54321
My level of desire to own my own business is:	54321
My fondness for animals and rapport with them is:	54321
My verbal communication skills are:	54321

Your market: In evaluating the demographics of your area, we need your help.

   Is there an airport in your area?    Yes   No
       How far is it from your home?
         Miles    Minutes

Do you have a yard? Yes No
Is it fenced? Yes No

Thank you for taking the time to complete this questionnaire. Please press the Submit Form button below.

Company Biography

Questions & Answers

Market
Analysis