Naitia Advisory Discovery Intake Form

This form is designed to make our conversation as productive as possible.

Do you currently have paying customers or active pilots with a named buyer? *

Yes

No

What is the main challenge you're looking to solve right now? *

Growing revenue/ finding new customer

Positioning & packaging the product for health system or health plans

Product adoption and usage

Fundraising/ securing capital

Other

Are you in the position to engage outside expertise? *

Yes, I make the decision

I influence the decision

Just exploring

Have you considered hiring a full-time person for this work? *

Yes, actively searching

Yes, but haven't started

No, prefer fractional/contract

No, not needed

How soon are you looking to address this challenge? *

Immediately (0-3 months)

Soon (3-5 months)

Later (6+ months)

What are 2 things we need to cover in this meeting to make it a success? *

Thank You for Completing the Discovery Intake Form!

You're almost done. To proceed with scheduling your Discovery Call, please enter your details below.

First Name *

Company *

Email *