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1. What experience do you have working with children in education? a. I'm a former teacher. b. I've worked as a tutor. c. I'm active in my PTA and/or volunteer at my child's school. d. I have little active experience but much interest.

2. How would you describe your communications skills? a. Above average: I have extensive public speaking and writing experience. b. Average: I enjoy communicating one-on-one and to groups. c. I occasionally have some trouble but can communicate clearly. d. This is not really a strong area for me.

3. Which of these best describes your math abilities? a. I've taken advanced classes and am comfortable with higher-level math. b. I did well in math and believe I've retained most of my knowledge. c. I studied math but have forgotten much of what I learned. d. Math is not one my strongest subjects.

4. Which best describes your business experience? a. I've owned a successful business or franchise. b. I have corporate and/or managerial experience. c. I have worked in business for a number of years. d. I have no formal business experience but lots of interest.

5. How much time would you devote to your Kumon Franchise? a. I'm able to give a full-time commitment. b. I'm flexible and willing to devote as much time as needed to be successful. c. I see my time commitment growing as the business grows. d. I'm looking for a part-time opportunity a few days a week.

6. What motivated you to pursue this opportunity? a. My child has been or is currently enrolled in Kumon (or I'm currently a Center Assistant). b. I heard about Kumon from friends or family. c. I heard about Kumon in the press or from a franchise-opportunity ad. d. I'm interested in a franchise opportunity that requires minimal startup capital.

7. Which best characterizes your outlook for this franchise? a. I'm looking for a chance to work with children and in education; the financial benefits are secondary. b. I'm considering a franchise as a way to supplement household income. c. I'm looking at a franchise as our primary household income.

8. What pace of work do you generally prefer? a. Working on several projects at one time. b. Focusing on one project until it is completed.

9. From 1 (high) to 4 (low), rate your ability in each of the following areas? --- 1 2 3 4 a. Sales & Marketing --- 1 2 3 4 b. Administration/Bookkeeping --- 1 2 3 4 c. Instruction & Training --- 1 2 3 4 d. Management

10. In the past year, you have participated in volunteer work or community service: a. Extensively b. Occasionally c. Little or not at all.

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