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1. Are you
currently
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| 2.
Are you |
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Married
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Single
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Divorced
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Separated
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3.
Do you have dependant children or other dependant
family members?
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Yes
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No
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4.
How would you describe your general health?
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Poor
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Reasonable
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Good
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Very Good
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Excellent
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| 5.
Have you ever been self-employed? |
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Yes
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No
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| 6.
Have you ever owned and managed a business? |
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Yes
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No
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| 7.
Have you discussed your ideas on starting a
business with family/friends? |
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Yes
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No
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| 8.
Have you ever had responsibility for any of
the following (You can tick more
than one box) |
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Producing Business Plans
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Recruitment and Personnel Issues
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Managing Budgets
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Developing and launching new products or services
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Sales & Marketing Activities
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Presenting new ideas and initiatives |
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| 9.
Have you ever had Profit & Loss Responsibilities
for a service or product? |
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Yes
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No
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| 10.
What best describes your key motivation for
starting your own business? |
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I know family/friends who have been successful
in business
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I have been made redundant |
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I want to be rich and successful
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I dislike my current job and want a new challenge |
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I want to be my own boss
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| 11.
What best describes your character? |
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Easily Distracted
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Determined up
to a point
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Happy to go along
with others
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Very determined
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Section
B - Your Business Proposal
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What
is your business proposal and can it work?
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| 12.
Are you considering starting a business... |
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By Yourself
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With Family
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With Friends You
Know & Trust
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With Others
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| 13(a)
What nature of business are you considering? |
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Retail Shop
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Manufacturing
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Providing a Service
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Construction
Building
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Restaurant /Café
/Pub etc.
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Wholesaler
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Other
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If other, please provide a
description
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| 13(b)
Do you intend to import/export goods or services? |
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Yes
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No
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| 14.
Have you direct working experience of the business
activities you are considering investing in? |
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Yes
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No
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| 15.
How well do you feel you understand your product/service
and its prospective customers? |
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Not at all
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Some knowledge
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Good knowledge
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Very good knowledge
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Excellent understanding
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| 16(a)
What Market Research have you conducted or commissioned
on your business proposal? |
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None
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Some
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Lots
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Very Detailed
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| 16(b)
If Yes, on the basis of the Market Research,
are you |
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Worried about going ahead
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Not Sure
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Confident
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Very Confident it can work
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| 17(a)
Have you prepared or started preparing a business
Plan? |
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Yes
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No
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| 17(b)
If yes, do you have enough information? |
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Yes
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No
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| 18.
Have you prepared or started preparing a cash
flow forecast? |
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Yes
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No
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| 19(a)
Does your proposal involve obtaining premises? |
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Yes
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No
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| 19(b)
If yes, have you researched the market for property
in the locality you are considering? |
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Yes
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No
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| 20(a)
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Have
you considered which business structure
you should start with - sole-trader, partnership
or limited company? |
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Yes
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No
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| 20(b)
If Yes, do you feel you understand all the legal
and financial implications? |
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Yes
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No
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| 21.
Have you sought any independent professional
advice on your Business Proposal? |
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Yes
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No
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Section
C Financing Your Business Proposal
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| 22.
How would you describe your personal financial
situation? |
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Bad
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Reasonable
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Good
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Very Good
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Excellent
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| 23.
How long have you been with your current bank? |
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Up to 1 Year
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Up to 5 Years
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Up to 10 Years
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11 Years+
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| 24(a)
Do you need to buy opening stock?
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Yes
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No
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| 24(b)
If Yes, have you approached likely suppliers
to check for credit facilities? |
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Yes
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No
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| 24(c)
If Yes, what was their response? |
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Credit would
be approved
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Unlikely to be granted credit
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| 25(a)
Can you finance your new business yourself? |
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Yes
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No
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| 25(b)
If No, do you have access to financial support
from friends or family? |
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Yes
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No
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| 25(c)
If Yes, will that support provide all the financing
you need? |
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Yes
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No
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| 25(d)
If No, have you researched whom you can approach
to invest in your Business Proposal? |
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Yes
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No
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| 26.
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Have
you any assets (owner/occupier) or investments
that you could offer as collateral/guarantee
to investors/lenders? |
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Yes
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No
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| 27.
Have you considered approaching your bank for
support? |
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Yes
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No
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| 28.
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Assuming
you cannot obtain any salary or other
income from your business during its start
up and development, how long can you survive
financially? |
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Up to 3 months
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Up to 6 months
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Up to 12 months
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12 months+
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| 29.
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Have
you ever been refused credit? |
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Yes
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No
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| Please include any other
comment or issues you feel relevant:
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| Your email address:
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| Please confirm
that you have read our Terms of Use and Legal
Disclaimers
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