Treatment-area face map, last-session timing, brand preference, calendar booking.
Free while in beta · No credit card required
For aesthetic dermatology and med-spa clinics. Treatment-area picker covers the standard injection map (forehead, glabella, crow's feet, lips, cheeks, jawline). Captures last-session date so practitioners know whether the patient is on a maintenance cycle.
Visual area picker (forehead, lips, jawline) outperforms text — patients click the part of the face they want treated. The "last session" question separates first-timers from regulars so you can price differently.
Both. Page 1 splits Botox (muscle-relaxant) areas from filler (volumizing) areas so the visitor can pick either or both.
Healthcare
One-at-a-time fertility intake. Cycle history, prior attempts, AMH if known, scheduling.
Healthcare
Sensitive one-question-at-a-time intake for therapists. PHQ-2 screen, modality preference, scheduling.
Healthcare
Skin-concern picker (acne, rosacea, pigmentation), severity rating, current routine capture.
Healthcare
Current prescription capture, dry-eye triage, screen-time risk factor, candidacy match.
Healthcare
Fitzpatrick skin-type swatches, target-area picker, hair-color filter, package quote.
Healthcare
Profile photo upload, primary vs. revision picker, breathing-issue triage.
Every category is its own gallery — open one to see proven layouts for that vertical.
Free while in beta · Server-side tracking included · Cancel any time