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Full Name
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Email
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Phone
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Organization / Hospital Name
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Your City?
Your Designation?
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Owner / Founder
CEO
Marketing Head
Operations Head
Other
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What type of healthcare facility do you run?
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Multi-specialty Hospital
Single-specialty Hospital
Clinic/Polyclinic
Diagnostic Center
Other
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What is your hospital/organization’s current monthly revenue?
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5L - 10L
10L - 30L
30L - 50L
50L - 1Cr
1Cr +
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What are your biggest challenges in marketing & patient growth?
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Low patient footfall
High competition & poor brand awareness
High patient acquisition cost & unscalable marketing
Ineffective ad campaigns & wasted budget
Other
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How many patients do you serve per month?
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0-200
200-500
500 - 1000
1000 - 1500
1500 - 2000
2000 +
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Are you currently running any digital ads?
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Yes
No
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What is your current digital ad spend per month?
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10k-50k
50k-1L
1L-5L
10 L+
N/A
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Are you open to investing ₹3-5 Lakhs/month if you get guaranteed patient leads?
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Yes
No
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