Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *PhoneBusiness Name *Business Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeList surrounding cities or areas to include in market research: *Business PhoneWhat stage is your medspa currently in?Concept phase - opening in the next 6 monthsConcept phase - opening in the next 3 monthsPlanning phase - Lease signed, open date determinedStartup Phase - Recently OpenedGrowth Phase - First Year of OperationsEstablished Phase - Open For Over One YearWhat date do you plan to begin accepting patients?Do you have a location secured or in negotiation?YesNoIf yes, what is the square footage?Do you currently have funding secured? YesNoIf so, from what source (savings, loan, investor, etc,)?What is your estimated startup budget (or how much do you plan to invest initially)?What is your desired monthly revenue goal?What is your desired take-home income per month?Do you plan to start solo or hire a team right away?It's just meI'll have a teamWhich staff roles will you hire?What is your background in aesthetics or wellness (RN, NP, PA, MD, esthetician, business owner, etc.)?What services do you plan to offer (or are currently offering)?What devices have you purchased or do you plan to purchase? Are there specific treatments or technologies you are particularly excited about?Have you ever run a business before? If yes, please describe briefly.What areas of business feel most overwhelming or unclear to you right now?Which branding items do you currently have?Brand LogoBrand LogoUnique Value Position/Brand IdentityDo you have a website?YesNoWebsite / URLDo you have any social media profiles? If yes, please list the handles/links belowFacebook Page Link *Instagram Handle *Other Social Handles (TikTok, X, etc.)How do you plan to attract your first 100 patients?Have you run any paid ads or marketing campaigns before?YesNoWhat EMR (electronic medical record) or booking software do you plan to use (if any)?Are there specific policies or procedures you know you want to include??What do you hope to get out of this coaching program?What does success look like for you in the next 6-12 months?How involved do you want your coach to be in your decision-making process?What is your preferred method of communication (phone, email, text, Zoom)?What other things would you like me to know about your or your business that may be helpful?Submit
