Full Name
*
Phone (WhatsApp Preferred)
*
Email
*
GMC Number
Current Role
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Aspiring clinic founder
Existing clinic owner
Clinic manager / operator
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Which best describes you right now?
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Exploring private practice (idea stage)
Planning to launch (0–6 months)
Actively setting up (premises / CQC in progress)
Recently launched (0–6 months live)
Operating and looking to scale
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A Business Plan?
Yes
No
Rough idea
A Chosen Location?
Yes
No
Shortlisted
A Registered Company?
Yes
No
In-Progress
CQC Application Submitted?
Yes
No
Planning
What Type of Clinic are You Building?
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Private GP
GP + diagnostics
Specialist clinic
Multi-service clinic
Unsure
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Planned Location (City / Region)
Your Realistic Launch Target:
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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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Under £25k
£25k–£50k
£50k–£100k
£100k+
Not sure yet
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How do You Plan to Fund the Clinic?
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Personal savings
Loan / finance
Investor / partner
Combination
Not decided
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Are you Aware of Ongoing Monthly Costs Beyond Launch?
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Yes, fairly clear
Some idea
Not really
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What are Your top 3 Challenges Right Now?
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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
Actively implement between sessions?
Yes
No
Be open to challenge and feedback?
Yes
No
Are You Financially Prepared to Invest in:
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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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