To start off, may I have your full name? ^*

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What kind of clinic/ business do you own? ^*

Med Spa

Cosmetic Surgery

Dental or Orthodontic

Dermatology / Aesthetic

Other

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Are you actually ready for more booked appointments — or would that overwhelm your team right now? ^*

100% ready — we need volume and consistency

Yes — but we want quality appointments that actually show up

We’re not looking to grow right now

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Which outcomes would make the biggest difference in the next few months? ^*

More consults booked automatically

Less stress + burnout for my front desk

Faster response to leads — even after hours

More high-ticket patients/ customers actually showing up

Higher conversion from ads and social traffic

A smoother, more professional patient experience

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If your calendar was full next month with qualified, high-value consults… how would that impact your business? ^*

Please select as many options as you wish.

We could finally grow without burning out the team

We’d hit our revenue goals faster

We’d need to hire another provider

We’d be able to raise our prices

That’s exactly the kind of problem we want

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Are you running paid ads, or planning to soon? ^*

Yes — actively running ads

Not yet, but we’re planning to

No ads — we rely on referrals / organic

Not sure — we use an agency

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Do you know roughly how many new leads you get per month (from all sources)? ^*

Yes — we track this closely

We get a good amount, but don’t track

Not sure — it varies

We’re just starting to scale

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What happens today when a new lead comes in? ^*

Please select as many options as you wish.

Yes — we track this closely

We get a good amount, but don’t track

Not sure — it varies

We’re just starting to scale

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How many locations do your business currently have? ^*

Just 1

2-3 locations

4-7 locations

8+ locations

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If we could guarantee that no lead slips through the cracks — would you take advantage of that? ^*

Absolutely — we’re tired of missed opportunities

Yes — if it’s plug-and-play

Maybe — depends on cost

No — not a concern right now

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If you're approved and the demo makes sense, how soon would you want to get started? ^*

ASAP — let’s go

In the next 1–2 weeks

Within 30 days

Just gathering info for now

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How serious are you about automating lead response, follow-up, and appointment booking — without hiring more staff? ^*

Very serious — this is top priority

Interested, but still exploring

Curious, but not in a rush

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Lastly, what's your direct work email address so we can send demo access if you qualify? ^*

Note: We have set it up to request only real legit business emails. Therefore, free email services like Gmail or Yahoo won't be accepted. You can choose to change this option when creating the form.

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