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Evaluation Survey

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This survey is designed to help you decide if owning a franchise, in particular a Home Instead Senior Care® franchise, is the right business opportunity for you. At Home Instead Senior Care, we are looking for mission-focused individuals who demonstrate a commitment to seniors.

This survey is a self-assessment tool. Your results will not be shared with Home Instead Senior Care unless you specifically choose to do so upon completion of the survey. So we invite you to relax, take your time, and use this tool to help evaluate if Home Instead Senior Care could be the franchise for you.

Note: The results of this survey are not part of the official Home Instead Senior Care Franchise application and in no way imply your eligibility to be awarded a franchise.

Section 1 of 3: Your Skills

Question 1:

Please indicate the importance of each of these characteristics in your next job opportunity:

   
  Very
Important 		Somewhat
Important 		Neutral Not Very Important Not
Important
At All
Being a leader
Running a successful business
Being my own boss
Stability and security
Opportunities for growth and improvement
Working with an established brand
Working with other business owners

Question 2:

Please rank your skills in the following areas:

   
  Very
Strong 		Somewhat
Strong 		Average Not Very Strong Not
Strong
At All
Setting goals for myself
Giving advice to others
Taking advice
Communicating with others
Identifying and developing talent in others

Question 3:

Please rank your skills in the following areas:

   
  Very
Strong 		Somewhat
Strong 		Average Not Very Strong Not
Strong
At All
Marketing myself
Managing others
Convincing others of my way of thinking
Asking for help
Section 2 of 3: Working with Others

Question 4:

Please indicate how much enjoyment you receive or expect to receive from each:

   
  Enjoy a
Great Deal 		Enjoy
Somewhat 		Neutral Don't Enjoy
Very Much 		Don't Enjoy
At All
Working with children & young adults
Working with adults
Working with seniors
Working with employees

Question 5:

Please indicate how much enjoyment you receive or expect to receive from each:

   
  Enjoy a
Great Deal 		Enjoy
Somewhat 		Neutral Don't Enjoy
Very Much 		Don't Enjoy
At All
Face-to-face sales
Building relationships
Networking

Question 6:

Please indicate the importance of each:

   
  Very
Important 		Somewhat
Important 		Neutral Not Very
Important 		Not
Important
At All
My ability to impact people's lives
Pride in what I'm doing
Doing the right thing
Making the best business decision
Section 3 of 3: Values and Experience

Question 7:

Please rank the following in order of importance:

   
  Customer service Financial success Quality of life
Most important
Important
Least important

Question 8:

Please select the three qualities that best describe you:

 
Structured Fair
Inventive Compassionate
Competitive Driven
Conservative  

Question 9:

Please indicate your level of experience in each of these areas:

   
  Less than
1 year 		1-2 years 3-5 years 6-10 years More than
10 years
Caring for a senior
Working as a caregiver
Filling a leadership role within another organization
Running my own business
Managing employees

Your Results

Thank you for completing our survey. We know that owning your own business is a big step that shouldn't be taken lightly. While your responses may not indicate that you are a perfect match for our company, only you can truly know if becoming your own boss is right for you.

Perhaps some of these other resources will help guide your decision:

Your Results

Your responses seem to indicate that you possess many of the traits that can be indicative of a successful Home Instead Senior Care franchise owner. Please use the form below to send us your contact information so that we can follow up with you personally.

At Home Instead Senior Care, we are committed to awarding our franchises to the best possible owners who are committed to helping improve the lives of seniors. We look forward to hearing from you soon. Remember, your answers and results will be shared with us unless you select "No" in the form below.

Send Us Your Information


  • Include space for Canadian Postal Codes
  • In what city/area(s) would you like to locate your business?
  • Yes     No

Need more information?

Let's talk! Call us at 402.498.4466 or toll free, 888.484.5759


Thank you! We have successfully received your information. We will follow up with you shortly regarding franchise opportunities. In the meantime, we invite you to explore our Web site for additional information or to contact us directly at 402-498-4466, or toll free, 888-484-5759.
This web page and the franchise sales information on this site do not represent an offer to sell a franchise. The offer of a franchise can only be made through the delivery of a franchise disclosure document. Certain states, including without limitation California, Indiana, Maryland, Minnesota, New York, North Dakota, Rhode Island, South Dakota and Washington, require that we register the franchise disclosure document in those states. We are not directing the communications on this web site to the residents of any of those states. Moreover, we will not offer or sell franchises in those states until we have registered the franchise (or obtained an applicable exemption from registration) and delivered the franchise disclosure document to the prospective franchisee that complies with applicable law.