Full Name *

Business Name *

Phone *

Email *

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Question 1 of 5 - To help us understand your specific needs, what is your organization's primary industry and specialty?

Primary industry and specialty *

Question 2 of 5 - On a scale of 1 to 10, how significant are the challenges (e.g., lost revenue, staff time) caused by your current client communication and intake process? (where 1 = Not a challenge and 10 = A critical business problem)

Challenge Significance *

Question 3 of 5 - This program involves a close collaboration, including a few short feedback sessions, to tailor the AI perfectly. How willing would you be to participate in this process?

Partnership Commitment *

Very willing - we want to be actively involved in building the solution.

Somewhat willing - we can provide some feedback when time allows.

Not willing - we are only looking for a finished, off-the-shelf product.

Question 4 of 5 - In exchange for the significant lifetime discount, would you be open to providing a testimonial or being a case study if this solution is a major success for your organization?

Provide Testimonial? *

Yes, absolutely.

Maybe, I would need to see the results first.

No, I would prefer our arrangement to be private.

Question 5 of 5 - Thinking about the value of automating your client intake and reducing staff workload, what would you consider a reasonable monthly budget for a fully compliant, managed AI solution?

AI solution budget: *