Do not submit patient-identifying, customer-identifying, medical, financial, or confidential information.
Business name Required
Your name Required
Email Required
Website URL Optional Use the page a serious prospect would visit before taking action.
Primary public profile URL Required Instagram, TikTok, LinkedIn, YouTube, or another public profile where attention is currently happening.
Where should people take action? Required Booking page, contact page, checkout, application, calendar link, DM, phone call, or another next step.
Priority offer, treatment, or service Required For clinics, list the top treatment or top 3 treatments you want more booked consults for.
What action do you want more of? Required
Select one
Booked consultations or appointments
Qualified sales calls
Buyer or seller inquiries
DMs from serious prospects
Purchases
Applications
Partnership or brand opportunities
Not sure
Other
What feels like the main drop-off? Required
Select one
People see us but do not trust enough to act
Content gets attention but not serious intent
People click but do not complete the next step
People DM or inquire but go cold
People book but no-show
Creative gets views but does not move people toward action
We are not sure where the drop-off is
Other
Who are you trying to attract? Required Plain language is fine. Example: local aesthetic patients, Dubai property investors, founders, high-ticket coaching buyers, luxury shoppers.
What is not obvious from public pages? Optional Share useful context like priority offer, price range, service area, target buyer, buyer objections, sales process, or constraints. Do not include private customer or patient information.
Inquiry first response Optional
Not sure / not relevant
Within 5 minutes
Within 30 minutes
Within 2 hours
Same day
Next day or later
Follow-up touches Optional
Not sure / not relevant
0
1
2
3-4
5+
I confirm I am authorized to submit this information. I understand Attention Signal will review public profile/content evidence plus the business context provided here. I will not submit patient-identifying, customer-identifying, medical, financial, or confidential information.
Submit for diagnostic review
We review fit first. If the diagnostic can be performed from your public links and context, we confirm payment or founding-client terms before work begins.