How many inbound leads or inquiries do you get per week?
Under 5
5–15
15–30
30+
How fast does your team respond to a new lead or missed call?
Within 5 minutes
Within the hour
Same day
Next day or later
We don't have a set process
Do you have a list of past leads or customers you haven't followed up with?
Yes — over 100 contacts
Yes — under 100 contacts
No / not sure
Where are you losing the most revenue right now?
Not enough new leads coming in
Leads go cold or stop responding
Missed calls / can't answer fast enough
Too many no-shows or cancellations
Full Name
Email
*
Phone
*
Clinic Name
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