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"Contact Information","First Name *","Address*","Zip Code*","Email *","State*","City*","Home Phone *","Work Phone","Mobile Phone","Last Name*","How did you hear about us? *","<nobr>*&nbsp;Indicates&nbsp;required&nbsp;field<br>Page&nbsp;1&nbsp;of&nbsp;8</nobr>","Why do you want to buy a business? (Check ALL that apply)*","How long have you been searching for a business to buy? *","How soon would you like to acquire a business? *","<nobr>*&nbsp;Indicates&nbsp;required&nbsp;field<br>Page&nbsp;2&nbsp;of&nbsp;8</nobr>",
"Are you inquiring about a specific engagement of ours? If so, please specify *","In general, what type of businesses are you looking for? (Check ALL that apply)","<nobr>*&nbsp;Indicates&nbsp;required&nbsp;field<br>Page&nbsp;3&nbsp;of&nbsp;8</nobr>","Are there any specific DISTRIBUTION businesses you are interested in? (Check ALL that apply)*","Are there any specific RETAIL businesses you are interested in? (Check ALL that apply)*","Are there any specific SERVICE businesses you are interested in? (Check ALL that apply)*",
"Are there a specific MANUFACTURING businesses you are interested in? (Check ALL that apply)*","<nobr>*&nbsp;Indicates&nbsp;required&nbsp;field<br>Page&nbsp;4&nbsp;of&nbsp;8</nobr>","Please select the location(s) you are most interested in finding a business: (Check ALL that apply) *","Additional information regarding location:","Kansas City Metro","Midwest Cities","Surrounding Areas","<nobr>*&nbsp;Indicates&nbsp;required&nbsp;field<br>Page&nbsp;5&nbsp;of&nbsp;8</nobr>","Please provide the following financial information. &nbsp;All information is kept strictly confidential.",
"Your annual salary: *","Spouse's annual salary:","Other Annual Income: (Investments, Rent, etc.)*","Please share any other information about your income:","What annual cash flow amount are you <br>looking for?*","Please share any other information about your <br>desired annual cash flow amount:","<nobr>*&nbsp;Indicates&nbsp;required&nbsp;field<br>Page&nbsp;6&nbsp;of&nbsp;8</nobr>","Most businesses are purchased with a down payment of 25 to 35 percent of the total purchase price. &nbsp;Please describe what level of down payment you are comfortable with and the source. &nbsp;We understand the sensitive nature of this question, but please share as much detail as you can. &nbsp;The more information you share, the better we can assist you in your search. &nbsp;All information is kept strictly confidential.",
"Cash On Hand *","Stocks, Bonds, &amp; Other Liquid Investments *","401(k), IRA &amp; Other Retirement Investments *","Home &amp; Investment Real Estate Fair Market Values","(Less Real Estate Mortgages)","Net Real Estate Equity *","Friends &amp; Family","Outside Business Partners","Total Available Funds for Down Payment *","<nobr>*&nbsp;Indicates&nbsp;required&nbsp;field<br>Page&nbsp;7&nbsp;of&nbsp;8</nobr>","Please share any other information that will help us with your search for a business?",
"Have you owned a business before? *","What businesses have you previously considered purchasing?","Thank you for taking the time to complete our survey. &nbsp;As we have engagements that match your criteria, we will be in contact with opportunities. If you have any questions, please contact us at 913-897-3599.","<nobr>*&nbsp;Indicates&nbsp;required&nbsp;field<br>Page&nbsp;8&nbsp;of&nbsp;8</nobr>","1","Newspaper","2","Internet Ad / Please Specify","6","Other / Please Explain","3","Yellow Pages",
"4","Referral / From whom?","5","Search Engine (Google, Yahoo)","I want to be my own boss.","I am concerned that I may lose my current employment.","I want to make more money.","I am currently not working and I am looking for an <br>income source.","I am looking for an investment that can be run absentee or<br>semi-absentee.","7","I am looking for a career change.","8","I have relocated to a new area / I am plannning to relocate.","Other:","Service Business","Retail Business","Manufacturing","Distribution",
"Other / Please explain","9","Durable Goods","10","Non-Durable Goods","23","Other / Please describe","NOT INTERESTED IN<br>DISTRIBUTION BUSINESSES","Bar &amp; Grill / Tavern","Convenience Store ","Coffee Shops","Flower Shops","Apparel &amp; Accessories","General Merchandise Store","11","Home Furniture &amp; Furnishings","12","Liquor Store","13","Marine Dealers &amp; Equip","14","Miscellaneous Retail","15","Nights Clubs ","20","Restaurants (Fast food, Deli, etc)","21","Restaurants (Full Service)",
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"Printing Companies","24","Storage &amp; Warehousing","25","Other / Please describe ","NOT INTERESTED IN SERVICE<br>BUSINESSES","Vending Services","Chemicals","Clothing &amp; Jewelry","Electronics","Auto &amp; Transportation","Fabricated Metal Products","Food &amp; Kindred Products","Industrial Machinery","Printing &amp; Publishing","Rubber &amp; Plastic Products","Transportation Equipment","NOT INTERESTED IN<br>MANUFACTURING BUSINESSES","Entire Kansas City Metro","Downtown Kansas City","Midtown / Westport / Plaza ",
"North of the River","South of the River","Johnson County","Lawrence ","Topeka","Lake of the Ozarks","Eastern Kansas","Western Missouri","No location preference","Des Moines","Lincoln","Omaha","Springfield","St. Louis","Wichita","Other Midwest Cities","St. Joseph","Other Surrounding Areas","Other KC Metro","No","Yes (Please decribe type(s) below)","","Less than 1 month","1 - 3 months","4 - 9 months","10 months or longer","Less than 3 months","3 - 6 months","7 - 12 months","Willing to wait until I find the right business",
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