Full Name
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Phone (WhatsApp Preferred)
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Email
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GMC Number
Current Role
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Which best describes your situation?
Aspiring clinic founder
Existing clinic owner
Clinic manager / operator
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Which best describes you right now?
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Are you prepared to invest time and resources into building your clinic properly?
Planning a private clinic
Mid-way through setup
Already operating
Scaling / restructuring
Facing a specific problem
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A Business Plan?
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Yes
No
Rough idea
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A Chosen Location?
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Yes
No
Shortlisted
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A Registered Company?
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Yes
No
In-Progress
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CQC Application Submitted?
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Yes
No
Planning
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What Type of Clinic are You Building?
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What Type of Clinic are You Building?
Immediate
Within 30 days
Strategic / planning phase
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Planned Location (City / Region)
Your Realistic Launch Target:
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Your Realistic Launch Target:
0–3 months
3–6 months
6–12 months
No fixed timeline yet
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Estimated Budget Range for Setup (Excluding Personal Income):
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Estimated Budget Range for Setup (Excluding Personal Income):
Pre-launch
£20k–£50k
£50k–£100k
£100k+
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How do You Plan to Fund the Clinic?
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How do You Plan to Fund the Clinic?
Yes (good experience)
Yes (poor experience)
No
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Are you Aware of Ongoing Monthly Costs Beyond Launch?
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Are you Aware of Ongoing Monthly Costs Beyond Launch?
Yes, fairly clear
Some idea
Not really
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What are Your top 3 Challenges Right Now?
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What are Your top 3 Challenges Right Now?
Understanding clinic economics
Avoiding over-spending upfront
CQC documentation & inspection readiness
Premises decisions
Staffing & rota models
Patient acquisition
Marketing ROI uncertainty
Vendor selection (EHR, labs, indemnity, payments)
Confidence in decision-making
Scaling beyond initial demand
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Attend Weekly live Sessions?
Yes
No
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Actively implement between sessions?
Yes
No
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Be open to challenge and feedback?
Yes
No
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Are You Financially Prepared to Invest in:
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Are You Financially Prepared to Invest in:
Professional services
Marketing
Systems & vendors (not just the programme fee)
Yes
No
Unsure
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Why is Now the Right Time for You to Build or Scale Your Clinic?
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