Da Vinci - Assessment

Recommended Application Software: JotForm Application Title: Da Vinci Medical Clinic Assessment Subtitle: Fill this out right now so we can hit the ground running on our call... it will only take 2-3 minutes. Question 1: What type of medical practice do you own? 1. Medspa Clinic 2. Aesthetician Clinic 3. Physical Therapy Clinic 4. Dermatology Clinic 5. Plastic Surgery Clinic 6. Chiropractor Clinic 7. Functional Wellness Clinic 8. General Practicioner Clinic 9. Other Question 2: How many patients do you currently see per day? 1. Under 5 2. 5-10 3. 11-20 4. 21+ Question 3: What is your approximate monthly revenue? 1. Under $25,000 Per Month 2. $25,000 - $50,000 Per Month 3. $50,000 - $100,000 Per Month 4. $100,000+ Per Month Question 4: How many employees do you currently have? 1. 1-5 2. 6-10 3. 10+ Question 5: What range of services do you currently offer? INPUT ANSWER Question 6: Are you currently offering any wellness or aesthetic treatments in your practice? 1. YES 2. NO Question 7: How would you rate your current social media presence? 1. Non-existent 2. Not great 3. Decent 4. Good 5. Really Good Question 8: What is your personal credit score or company credit score? 1. Less than 500 2. 600 range 3. 700 range 4. 800 range Question 9: How much liquid capital are you willing to currently invest into your practice? 1. $10,000-$50,000 2. $50,000-$100,000 3. $100,000+ 4. I’m not able to invest any liquid capital into my practice Question 10: What has you interested in integrating Red Light Therapy into your practice? INPUT ANSWER