PART A - Screening

A1) Goal right now (select one) *

A2) Timeline to become fully operational (select one) *

A3) Starting point (select one) *

A4) Have you already purchased a vehicle? *

A5) Preferred business model (select one) *

PART B - Readiness Questions

1. I can follow a step-by-step process without skipping steps. *

Not true yet

Somewhat true

Mostly true

Fully true right now

2. I am willing to start lean and build systems before buying “things.” *

Not true yet

Somewhat true

Mostly true

Fully true right now

3. I can accept correction and implement feedback quickly. *

Not true yet

Somewhat true

Mostly true

Fully true right now

4. I can commit to consistent outreach/marketing even when it is uncomfortable. *

Not true yet

Somewhat true

Mostly true

Fully true right now

5. I am willing to do the work even if I feel behind. *

Not true yet

Somewhat true

Mostly true

Fully true right now

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PART C - Short Answers

C1) State + city you will operate in: *

C2) Who is your ideal client? (Examples: post-op, oncology/infusion, PT/ortho rehab, behavioral health, IVF, etc.) *

C3) What is your biggest barrier right now? *

C4) What resources do you already have? (vehicle, savings, credit, network, website, etc.) *

C5) If we gave you a step-by-step plan today, what would stop you from executing this week? *

PART A - Screening

PART B - Readiness Questions

B2) Clarity (Niche + Offer + Who You Serve)

B3) Financial Readiness

B4) Time + Capacity + Support (4 questions)

B5) Legal + Business Foundation

B7) Compliance Readiness (State + Risk Awareness)

B8) Marketing + Sales Readiness (4 questions)

PART C - Short Answers