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Only the five questions marked with an asterisk (*) are mandatory. But the more you can tell us the better service we are likely to be able to give.
Please give us your details to join PRIME's business support club for free. We will send you a free start-up pack in the post, keep you updated with any events in your area and let you know what's happening with PRIME. We'll also send you our free email newsletter - which you can unsubscribe from if you wish. We can help people who are currently out of work, or who are facing redundancy. We can also assist newly self-employed people who have started out in the last 12 months. The information you provide may be shared with our delivery partners in order to provide you with a service, and for purposes of research.
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* Please enter your name.
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| East of England (Bedfordshire, Cambridgeshire, Essex, Hertfordshire, Norfolk, Suffolk) |
| East Midlands (Derbyshire, Leicestershire, Lincolnshire, Northamptonshire, Nottinghamshire) |
| London (Greater London) |
| North East (Durham, Northumberland, Newcastle upon Tyne, Sunderland, Middlesbrough, Stockton-on-Tees) |
| North West (Cheshire, Cumbria, Lancashire, Liverpool, Manchester, Wirral, Blackpool, Warrington) |
| South East (Buckinghamshire, East Sussex, Hampshire, Isle of Wight, Kent, Oxfordshire, Surrey, West Sussex) |
| South West (Cornwall, Devon, Dorset, Gloucestershire, Somerset, Wiltshire) |
| West Midlands (Shropshire, Staffordshire, Warwickshire, Worcestershire, Birmingham) |
| Yorkshire & Humberside (Yorkshire, Kingston upon Hull, North East Lincolnshire, North Lincolnshire) |
| Northern Ireland |
| Scotland |
| Wales |
| Outside the UK |
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* Please indicate your age (to the nearest five years) by clicking the relevant button below.
| 45 to 49 | 50 to 54 | 55 to 59 | 60 to 64 | 65 to 69 | 70 or over |
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* Please provide your date of birth
(For example 25/12/1950)
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* Are you currently unemployed or working less than 16 hours a week?
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If you are out of work at the moment, how long have you been out of work?
| Less than six months |
| Six to 12 months |
| One year up to two years |
| Two years or more |
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ALL OTHER QUESTIONS ARE OPTIONAL. Please hit the "Submit" button at the bottom of this page to send us your details.
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What sort of business are you considering? (If we have additional relevant information we'll include it in your pack.)
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It is very helpful for us to know more about what you are now doing. Select as many answers as apply.
| Working full-time as a paid employee |
| Working part-time (under 16 hours) as a paid employee |
| Already working for myself |
| On Jobseekers Allowance |
| On Employment Support Allowance |
| On Incapacity Benefit |
| On Income Support |
| On another disability benefit |
| Getting Pension Credit |
| On a training scheme such as New Deal |
| Getting Housing Benefit |
| Retired |
| Other - please say what |
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PROMPT: Do you have any health problems or physical impairments that might affect your business? (We may be able to put you in contact with sources of help).
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How would you rate your current level of knowledge of what's involved in setting up a business? Out of 10, with 1 being
Very Poor and 10 Excellent.
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What sort of help would be most useful to you at the moment? (Though we can't provide everything in this list today, your response will help us
deliver a better service in future.)
| Preparation of business plans |
| How to keep the books |
| How to set up a web site |
| Guidance regarding sources of finance |
| How to do market research |
| IT training - using spreadsheets, word processors etc. |
| On-going business mentoring |
| How to pitch to raise money |
| Guidance as to suitability for self-employment |
| How to use networking effectively |
| One-to-one discussion of my business ideas |
| How to sell |
| Other, please specify |
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It's helpful for us to know the reasons people contacting PRIME have for considering going into business or self-employment. Here are some
popular ones. Please tick any that apply to you.
| To provide some extra income |
| To provide my main income to live off |
| To give me greater independence |
| To give me greater flexibility to get round some health problems |
| To give me flexibility as I'm caring for a partner or relative |
| It's hard to get a conventional job |
| I've been made redundant or am facing redundancy |
| Starting my own business is a long held ambition |
| Other, please specify |
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PROMPT: Which ethnic group best describes you?
[Note: These categories are based on those used in the last (2001) UK census. If more than one could describe you just select
the one you prefer.]
| White |
| Dual Heritage |
| Asian or Asian British |
| Black or Black British |
| Chinese |
| Declined - I don't want an ethnic category recorded |
| Other ethnic background - please say |
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Where did you hear of PRIME?
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| Advert in magazine or newspaper |
| Poster or leaflet |
| TV or radio |
| PRIME web site |
| Search engine like Google |
| Twitter |
| An Internet discussion forum |
| Jobcentre Plus |
| Other employment adviser |
| Business Link |
| Other business advisor |
| Word of mouth |
| Can't remember |
| Other, please specify |
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PRIME is sometimes contacted by journalists (often on tight deadlines) who are trying to find stories of older people who have started in business. Are you interested (we'll contact
you first)?
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Is there anything else you'd like to tell us?
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Do you also want to be sent details of the PRIME Business Start-Up Loan scheme?
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That's it.
Thank you for your help.
Please hit the "Submit" button at the bottom of this page to send us your details.
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Data protection statement: Information may be shared with our delivery partners in order to provide you with a service, and for purposes of research. About PRIME: The Prince's Initiative for Mature Enterprise (PRIME) helps people over the age of 50 set up in business for themselves. We are a registered charity number 1138233, and a member of the Prince's Charities Group. We offer free information, workshops and business networking events. Registered address: PRIME, Astral House, 1268 London Road, London SW16 4ER
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IGNORE STUFF BELOW - FOR ADMIN USE ONLY
PRIME staff: select just one of the four options below, and put a numeric 1 in the relevant field. Leave the others blank.
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