Candidate Questionnaire

Before we schedule time together, I’d love to understand what types of roles would align with your experience and aspirations. Completing this helps us ensure our call is meaningful and relevant to your goals.

Thank you,

Jon Fidler

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Name

First Name(required)

Last Name(required)

Phone (required)

Email (required)

What types of roles are you most interested in exploring next? (required)

(e.g., Operations, Finance, Marketing, HR, RCM, Biz Dev, etc.)

Ideal Title/Level (required)

(e.g., C-level, VP, Dir, Mgr, etc)

Which segments of the industry do you prefer or have experience in? (required)

Check all that apply:

Dental / DSOMedspa / AestheticsWellness / Integrative MedicineVeterinaryBehavioral HealthOptometrySurgery CentersDermatology / PlasticsOther (please explain)

What size of organization do you perform best in? (required)

Early-stage / Private equity backed (5–25 sites)Growth-stage / Scaling (25–150 sites)Large platform (150+ sites)Enterprise-level (500+ employees)

Briefly describe the scope of your most recent leadership responsibilities. (required)

(e.g., team size, direct vs. indirect reports, P&L responsibility, budgets size, geography, etc.)

What responsibilities MUST be part of your next role for it to feel like a strong fit? (required)

Are you open to relocation or travel? If so, what limits or preferences do you have? (required)

Yes - I am open to travel or relocationNo - I am NOT open to travel or relocation

What is your current compensation and what range/structure would you expect in your next role? (required)

Please include base salary, bonus target, equity participation, and benefits or non-monetary priorities

What is your current job-search status?

Actively interviewingPassively exploringOpen to the right opportunity onlyNot actively looking but open to strategic conversations

What is your earliest availability to transition into a new role? (required)

Immediately / 30 days / 60 days / 90 days / Other

Bonus (optional): Please share one accomplishment you are most proud of in your career.

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