Full Name
*
Phone
*
Email
*
Clinic Name
What treatments does your clinic mainly focus on?
Injectables / Fillers
Skin Treatments
Laser Treatments
Slimming / Body Contouring
Hair Treatments
Anti-Aging Treatments
Medical Aesthetics
Multi-Service Aesthetic Clinic
How many patient inquiries does your clinic currently receive per month?
Less than 20
20–50
50–100
100–300
300+
What is your biggest growth challenge right now?
Low-quality leads
Too many price shoppers
Poor follow-up system
Not enough consultations
Weak online presence
Inconsistent bookings
Low conversion rates
No proper marketing system
Does your clinic currently run paid ads?
Yes, actively
Yes, but results are inconsistent
No, but we want to start
Previously ran ads but stopped
What best describes your clinic's monthly marketing budget?
RM3,000–RM5,000
RM5,000–RM10,000
RM10,000–RM30,000
RM30,000+
Not sure yet
Do you currently have a staff member dedicated to handling leads and follow-ups?
Yes
No
Partially
How quickly does your clinic usually reply to new inquiries?
Within 5 minutes
Within 30 minutes
Within a few hours
Same day
Sometimes we miss leads
Which systems does your clinic currently use?
CRM System
WhatsApp Automation
Booking Automation
AI Chatbot
Email Follow-Ups
Retargeting Ads
None
What is your average treatment value?
Below RM500
RM500–RM1,500
RM1,500–RM5,000
RM5,000+
Are you looking to grow your clinic within the next 90 days?
Yes, aggressively
Yes, steadily
Exploring options
Not urgently
If we believe your clinic is a strong fit, are you open to investing RM2,997 per month (our fee) and ad spend - in a complete growth system to scale your clinic?
Yes
I don’t think I can afford it
No
I am ready to proceed with a quick 10–15 minute strategy call with RAMP Digital to discuss scaling my clinic.
Yes - I am interested
Maybe
Not Now