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Discovery Call Intake Form

Full Name

Phone Number

Email

What State are you located in?

Current Certifications

Where are you currently in your medical testing business journey?

I am just getting started and have not launched yet

I am in the planning phase

I have started the business setup process

I am already operating but need structure and growth support

What type of services are you interested in offering?

What type of medical testing business are you interested in starting/growing?

Mobile

Physical location

Both

What is your biggest goal?

What is your biggest challenge right now?

What are you hoping to get help with right now?

How soon are you looking to start or grow your medical testing business?

Immediately

Within 30 days

Within 60–90 days

Within 6 months

I am just exploring for now

Are you prepared to invest in starting your business?

Yes

I need more information

Are you prepared to invest in professional coaching or consulting support if it is a good fit?

Yes, I am ready to invest now

Possibly, depending on the program and payment options

Not at this time, I am just gathering information

What questions would you like answered on the discovery call?

Please confirm the following:
I understand this is a free 15-minute discovery call. I understand this call is to determine fit for coaching/consulting services. I understand completing this form does not guarantee acceptance into the program. I will attend the call on time and be prepared

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