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Startup Therapy Application

Please answer these short questions. Remember, there is no obligation to join. 

If eligible, you will be invited for an informal chat to ensure Startup Therapy is right for you. 

Click the button below to start.

Start

Question 1 of 8

What is the problem you'd like to solve?

Question 2 of 8

Type of solution

(Select all that apply)
A

Biomedical Device

B

Clinical Services

C

Coach / Consultant / Therapist

D

Digital Health / HealthTech / MedTech

E

E-commerce (Amazon / Shopify etc.)

F

Education & Training

G

Environmental Health

H

Pharmaceutical

I

Other

J

Don't know

Question 3 of 8

What funding stage are you at?

A

Not funded

B

Self-funded (loan / savings)

C

Friends & Family

D

Crowdfunded

E

Pre-seed

F

Seed

G

Series A

H

Series B

I

Series C

J

Series D+

Question 4 of 8

What is your budget for this 12-month investment in Startup Therapy?

Question 5 of 8

What specific help are you looking for?

Question 6 of 8

Briefly describe any relevant experience / qualifications.

Question 7 of 8

Please provide your:

1. First name

2. Last name

3. Email address

4. City

5. Country

6. Company name (if registered)

7. Website (if available)

Question 8 of 8

By submitting this form, you have reviewed, understood, and accept the Terms & Conditions, and the Privacy Policy, available at the bottom of this page. 

A

Yes

Confirm and Submit