Lunch and Earn

Medical Office Profile

Office Information
Office Name
Address
Address (line 2)
City
State
Zip
Physician's Name(s)
Office's Medical Specialty
Make visible to searches?
Contact Information
First Name
Last Name
E-Mail

Login Information
Account Login	Your account login will be the same as your email address entered above.
Password

Lunch Preferences

Favorite Restaurants and dishes at these restaurants (are they currently listed with L&E?)

What cuisine or restaurants have you had too much of lately?

Favorite Cuisine
Cuisine Restrictions

When does lunch need to arrive?
Who schedules lunches, when are they done and is there a cancelation list?

Rules, Hours and General Preferences
What are the times your physicians are available to reps?

What are the rules for Rep/physician interactions? (for example: Can Reps detail during sample signatures?)

What is the best way for your Reps to contact you

How does each physician like to be approached by Reps

What should Reps not do or say in your office or to a physician

Other Preferences

Needs and Desires
What samples does your office currently need?

What promotional give-aways would your office like?

Would your office like to request research money or a grant?		YesNo
Are your physicians interested in becoming speakers and if so, for what product?


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