If I moved to a membership-based cardiology practice, how likely would you be to consider joining?
Defnitely Not
Unlikely
Neutral
Likely
Definitely
How long have you been a patient of Dr. Goyal (approximately)?
5+ years
2-4 years
Less than 2 years
I’m considering joining / new patient
What would be your main reason to consider a cardiology membership model? (Pick up to 3)
Select up to
3
choices.
Faster appointments / easier scheduling
More time during visits
Direct messaging/phone access to physician
Proactive prevention plan & coaching/accountability
Better coordination with other doctors/tests
Peace of mind / having a cardiologist “in your corner”
Travel/urgent questions handled quickly
Other
You selected "other"... please elaborate.
Membership would focus on access, prevention planning and coordination. It would not replace emergency care; testing and procedures would generally be billed separately.
If you could pick only 3 benefits, which would matter most? (Pick exactly 3)
Select exactly
3
choices.
Same-week (or faster) appointments when needed
Direct messaging with physician with clear response times
Longer, unhurried visits
Comprehensive annual cardiovascular prevention review & plan
Medication optimization with close follow-up
Care coordination (scheduling tests, interpreting results, communicating with other doctors)
Virtual visits as needed
Rapid review of outside records/tests (EKGs, labs, imaging)
Lifestyle support via partners (nutrition/exercise/sleep/stress)
Small group education sessions (prevention, cholesterol, blood pressure, etc.)
Proactive monitoring plan (home BP / wearable data review)
Travel support (refills, advice while traveling)
What is the single most important improvement you’d expect versus a traditional practice?
What response time would you expect for non-urgent messages?
Within 2 hours (business hours)
Same day
Within 24 hours
1–2 business days
I wouldn’t use messaging much
In a typical year, how many cardiology visits (in-person or video) would you usually have?
0-1
2-3
4+
Not Sure
If I transitioned out of my current practice setting, would you want information about joining my membership practice?
Yes
Maybe
No
If I offered a limited early-access waitlist (no obligation), would you want to be included?
Yes
Maybe
No
If you’d like updates / waitlist, what’s the best email or phone number?
(Leave blank to remain anonymous.)
Name
First
Last
(Optional). Any comments, concerns, or deal-breakers?
At an annual membership fee of $12,000, would you join?
Yes
Maybe
No
At an annual membership fee of $6,000, would you join?
Yes
Maybe
No
At what annual price would it feel so low you’d question the quality?
At what annual price would it feel like a good value?
At what annual price would it start to feel expensive but still possibly worth it?
At what annual price would it be too expensive to consider?
0/20 Completed!
Previous
Next