Coaching holding page
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Step
1
of
15
6%
Where is your company headquartered?
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United States
Canada
Other
What percentage of payor source currently is represented in your model?
Private Pay / Long-Term Care
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Government Programs (Medicaid, V.A., etc)
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What best describes your agency's current annual revenue?
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Start Up
$50K-$150K
$150K-$250K
$250K-$500K
$500K-$1M
$1M-$2M
$2M-$3M
$3M-$5M
$5M-$7M
$7M-$9M
$9M-$11M
$11M-$13M
$13M-$15M
$15M-$17M
$17M-$20M
$20M-$50M
$50M+
What is your average monthly revenue for the previous 3 months?
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What is the average of the last four weeks of billable hours?
How much profit (EBITDA) did your business earn over the past 3 months?
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0-$250K
$250K-$500K
$500K-$750K
$750K-$1M
$1M-$1.5M
$1.5M-$2M
$2M+
How many locations do you have?
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What is the total number of office staff working (plus any current office staff openings)?
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What are your agency's current strategic goals?
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What is the greatest challenge your company faces today?
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Where did you first hear about Home Care Ops (or Clint and Jessica Nobles)?
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Facebook
YouTube
LinkedIn
HCAOA
Other
Are you the full or part owner of the company and can you decide how to allocate equity?
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Yes
No
What is your position in the business?
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Who is a full or part owner?
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What is your email?
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(Where we can send you more information to help.)
Name
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First
Last
Phone
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Company
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Website
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Do you want us to consider your agency for enrollment in our coaching and scaling programs? If not, please select "NO," we will remove your company from consideration and only add you to our email list.
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Yes
No
Name
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