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Consultation Request

Please take a few minutes to answer the short survey below prior to the consultation meeting:

Name(Required)

First Last

Email(Required)

Phone(Required)

Please submit a resume with your Professional and Educational background.

Drop files here or

Accepted file types: pdf, doc, docx, ppt, Max. file size: 256 MB, Max. files: 2.

Turnkey Lease Solution: Innovative Senior Solutions locates and owns the property for personal care home

Turnkey Own Solution: Business Owner locates and owns the property for personal care home

Adult Day Center Licensed Operator: Operate an Innovative Senior Solutions Adult Day Health Center

Which Senior Care business are you interested in?(Required)

(Hold down SHIFT to select multiple options)

Are you ready to invest the initial $20,000 for Turnkey Own with an initial down payment of 20 percent due now to reserve your Senior Care Solution?

Yes

No

Are you ready to invest the initial $35,000 for Turnkey Lease with an initial down payment of 20 percent due now to reserve your Senior Care Solution?

Yes

No

Are you ready to invest the initial $45,000 for Licensed Adult Day Health Center) with an initial down payment of 20 percent due now to reserve your Senior Care Solution?

Yes

No

When do you want to open your Senior Care business?(Required)

Will you have a business partner for your Senior Care business?(Required)

Yes

No

Do you currently own a business?(Required)

Yes

No

What type of business?

How many years have you owned this business?

How would you rate your credit:(Required)

Have you ever filed for bankruptcy?(Required)

No

Yes

If yes, greater than 5 years ago?

Yes

No

Would you consent to a credit check?(Required)

Yes

No

Would you consent to a criminal background check?(Required)

Yes

No

How did you hear about us?(Required)

Are you a member of our Senior Care Business Facebook Community?(Required)

Yes

No