Target-zone picker, BMI screen, prior-surgery history, photo upload.
Free while in beta · No credit card required
For plastic surgeons offering liposuction, VASER, abdominoplasty (tummy tuck), and BBL. BMI screen routes high-BMI patients to a "weight loss first" track — surgery isn't safe above ~32 BMI for most procedures, so the form filters early.
BMI gate filters out unsafe surgical candidates before they book — those leads still convert to "non-surgical" services. Multi-zone picker (abdomen, flanks, thighs, arms) sets expectation for combined procedures.
Most plastic surgeons require BMI under 30–32 to safely operate. The form catches this on page 2 and routes high-BMI patients to a non-surgical track instead of a wasted consult.
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
Treatment-area face map, last-session timing, brand preference, calendar booking.
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