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Client Survey
Client Survey Form
State
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ANDAMAN AND NICOBAR ISLANDS
ANDHRA PRADESH
ARUNACHAL PRADESH
ASSAM
BIHAR
CHANDIGARH
CHHATTISGARH
DADRA AND NAGAR HAVELI
DAMAN AND DIU
GOA
GUJARAT
HARYANA
HIMACHAL PRADESH
JAMMU AND KASHMIR
JHARKHAND
KARNATAKA
KERALA
LAKSHADWEEP
MADHYA PRADESH
MAHARASHTRA
MANIPUR
MEGHALAYA
MIZORAM
NAGALAND
NCR
ORISSA
OTHER
PUDUCHERRY
PUNJAB
RAJASTHAN
SIKKIM
TAMIL NADU
TRIPURA
UTTAR PRADESH
UTTARAKHAND
WEST BENGAL
City
TYPE OF PROJECT (Please Tick)
Preschool without Toddlers
Preschool with Toddlers
Preschool to Class II
Preschool to Class V
Whole School to Class X
Whole School to Class XII
Day School
Whole Day School
Residential
Primary Applicant Name
Address
Pin Code
Email Id
Tel / Mobile
What are your plans?
Begin Now / Session 2011
Begin 2012
Others
Pls. explain
You Have (Tick all as apply)
Existing Building
Total Area
Built Up Area
Owned by you
Owned jointly with others
Owned by others
Rented/Leased for duration
Land
Land without construction
Land with some construction
Building Has to be Rented
Building Has to be Rented
Have to Identifyt
An Existing School
Up to Class
Started In
No. of Children Now
Location
Inside City
Outside City
Dist to Target Customers
km From
km to
Explain
(Describe the location of your planned school (if already identified), e.g., neighbourhood busy, inside or near a city, proximity, accessibility, distance to target families, etc.)
The Project Will Be
Self-financed with existing funds
Land with some construction
Sources of your funding are
Can you sustain yourself for 36-48 months without drawing income from the school?
Pls. explain
COMMENTS
Your Experience?
Of Doing Business, Explain
Of A Franchise (Any Type)
When
What
Current Status
Want to start a school / preschool because
Do You Have?
A Registered Society/Trust
Existing Company, Type
(proprietorship / Pvt. Ltd.)
Persons to be involved in the franchise are
1
2
3
4
Relationship or how long know each other / how
More Information About The Client
Date of Birth
Qualifications
For How Long at address given on
Previous Address
For How Long?
Alternative Email