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Step 6
Phone
Do you own or manage marketing for a healthcare facility?
Yes
No
What is the name of your facility?
*
What types of patients do you care for?
*
What type of conditions do you treat?
*
What was your revenue for the last 12 months?
*
Less than $300k
$300k - $1 million
$1 million - $5 million
$5 million+
What is your revenue goal for the next 12 months?
*
Less than $300k
$300k - $1 million
$1 million - $5 million
$5 million+
What is the biggest obstacle keeping you from hitting your revenue goal?
*
On a scale of 1-10, how important is it for you to achieve your revenue goal?
5
Current marketing efforts (please include all):
*
Who are your top local competitors?
*
What makes your practice unique?
*
What services are the most profitable for your facility?
*
Your first name:
*
Work email:
*
Best phone number
*
Website address
If your application is approved, are you committed to showing up to the call on time?
*
Yes
No
If the two of us mutually agree that we are the next best move for your practice, are you prepared to make an initial $1800 deposit on the call without issue or delay?
*
Yes, I am committed to growing my practice.
No, even if I wanted to join, I wouldn't be able to do it.
I verify that this information is true and correct.
*
Yes, I have answered everything truthfully.
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