First Name
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Last Name
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Email
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Phone
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Company Name
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About what share of your revenue comes from funded work (state programs, Medicaid or waiver, insurance, and similar)?
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Select one
Which funded programs do you work with?
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State home modification programs
Medicaid or waiver programs
Insurance-funded benefits
Disability or aging-in-place programs
Third-party administrators
Government or nonprofit programs
None
About how many projects do you complete each year?
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Do you keep a database of past customers?
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Select one
About how many contacts are in that database?
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Select one
Do you market to past customers today?
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Select one
Do you generate private-pay leads today?
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Select one
Do you have dedicated salespeople?
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Select one
Who runs your in-home consultations?
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Select one
What is your approximate average project value?
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$
What is your biggest challenge in growing private-pay revenue?
Which states or markets do you serve?
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Get my private-pay growth plan