Discovery Questionnaire
We appreciate your interest in Kare Mobile - the leader in supporting comprehensive, concierge, mobile dental practices! Mobile dentistry is exciting for many reasons, but particularly because it enables dentists and hygienists to practice on their own terms. There are many to pursue mobile dentistry, so please spend a few minutes helping us understand your dream. Your answers will ensure that we tailor our discussions and materials to fit your use case. Thanks again for your interest and your valuable time!
Email address *
What is your name? *
Which type of provider are you? *
Years of experience as a provider? *
Do you currently own a practice? *
What zipcode will be your primary target area? *
Who will be your primary target audience? *
How long is too long to drive between patients? *
What days will your mobile clinic serve patients? *
How many hours per day will your mobile clinic serve patients? *
What are your long-term goals for mobile dentistry? *
What is most important to you about mobile dentistry? *
Please select your top 3 reasons.
Ideally, when would you like to launch your mobile dental practice? *
What sparked your interest in mobile dentistry? *
What do you foresee for your mobile dental practice in 5 years? *
Please describe your first entrepreneurial endeavor, why you pursued that particular endeavor, how old you were at the time, and what you learned from it. *
Never submit passwords through Google Forms.
This form was created inside of Kare Mobile Inc.. Report Abuse