The MIFAS Acceleratorâ„¢ Application
Please fill out the simple form below! After submitting the form, you will be redirected to the calendar where you can schedule a FREE Strategy Session.
Let's get started... What is your name?
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First Name
Last Name
What is your Email?
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example@example.com
Mobile Phone Number?
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What city and state are you based in?
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What is your practice website url? (if none, please type "none")
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What is your current estimated monthly revenue?
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What is your target monthly revenue?
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What do you feel is your biggest obstacle to hitting your monthly revenue goal?
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How comfortable are you in MIS procedures currently?
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I have never performed MIS procedures as of yet.
I have performed some soft tissue procedures.
I have done soft tissue and some simple exostectomy procedures.
I have performed soft tissues and MIS osteotomies but I want to improve more skills.
How willing are you to invest in implementing MIS and growing your practice right now?
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Conservative
1
2
3
4
Agressive
5
1 is Conservative, 5 is Agressive
Submit
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