Contact Information

Your Name *

Business Name * *

Email Address *

Phone Number *

Website URL *

Why did you start this hospice?

What gap did you see or what frustrated you about how others operate? *

If a family is choosing between you and a large competitor (VITAS, Heart to Heart, etc.), why should they pick you? *

Your brochure emphasizes 24/7 availability—is this something competitors actually fail to deliver on? *

Who is leading the clinical side? Is there a compelling story there? *

Are there specific patient populations or diagnoses you're especially equipped to serve? *

Who typically makes the hospice call? *

Adult Child

Spouse

Patient

Varies

What fears or objections do families have that you find yourself addressing repeatedly? *

What do families most need to hear in that first conversation? *

What are the exact zip codes or geographic boundaries you serve? * *

Can you serve patients in assisted living facilities? *

Yes

No, private residences only

If we generate 20 inquiries next week, can you handle them? Who answers the phone, and how fast can you respond? *

Who are your top 2-3 competitors in your area? *

Have you looked at their online presence and reviews? Where do you think they're falling short? *

What monthly advertising budget range are you considering? *

What's your client acquisition goal?

Example: 10-20 clients in 30 days, 200 by end of year *

What's that goal based on—a business plan, investor commitment, or gut feeling? Is there flexibility? *

What does success look like at 30 days if patient volume is building but not yet at goal? *

Your tagline is "Experience the Difference"—what IS the difference, in your words? *

Is there anything you want to AVOID saying or any tone that feels wrong for your brand? *

Who approves the proposal and signs off on the engagement? *

How quickly do you want to launch? *

Anything else we should know? *

Which of the following do you currently have? (Check all that apply and provide URLs)