Contact Info

Full Name *

Email *

Practice Name *

Phone Number

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Practice Overview

Which best describes your practice? *

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What specialty do you practice? *

Current Tools & Challenges

Which tools are you currently using for patient engagement? *

Phone system

SMS marketing platform

Email marketing platform

AI chatbots

EMR/EHR software

Scheduling software

Other

If other tool, please specify

What are your biggest challenges in patient communication? *

High no-show rates

Time-consuming follow-ups

Fragmented tools (using multiple platforms)

Difficulty tracking patient feedback

Limited automation options

Other

If other challenge, please specify

Goals & Interest Level

What’s your primary goal in exploring Funnel Cake MD? *

Streamline patient communication

Consolidate multiple tools into one platform

Improve billing/invoicing processes

Automate routine tasks and reminders

Enhance online reputation/reviews

Other

If other goal, please specify

Are you actively researching other solutions, or just browsing? *

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Thank you for sharing!

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