The 10-Minute Mindset Audit
Every quarter, we invite extraordinary entrepreneurs to join StartUp Health Moonshot Academy and become lifetime members of our global army of Health Transformers. 

To receive your exclusive invitation, please complete The 10-Minute Mindset Audit™ by answering a few questions and selecting the phrases that best describe you, your company and your solution.
Get Started Now!
 
Your Full Name *

 
Your Company Name *

 
Your Title *

 
Your Company Website *

 
Your Company's Primary Location: *

Please indicate where your company is located.
 
Co-founders Names, Roles, F/T Status & Bios *

Please list the names of your co-founders, their roles, and indicate if they are full-time or part-time. Don't forget to include LinkedIn Profile links and notable achievements or accomplishments for you and your team!
 
Your Mindset

 
Your Commitment *





 
Your Relationships *





 
Your Rhythm *





 
Your Confidence *





 
Your Self-Awareness *





 
Your Habits *





 
Your Future *





 
Your Energy *





 
Your Company

 
Your Company's Story *





 
Your Company's Team *





 
Your Company's Brand *





 
Your Company's Traction *





 
Your Company's Business Model *





 
Your Company's Technology *





 
Your Company's Partnerships *





 
Your Company's Capital *





 
Your Product Stage *


 
Months of runway *

 
Presentation

Please provide a link (Dropbox, Google Drive, etc.) to your most recent presentation deck.
 
Why do you want to join StartUp Health? *


 
Which "Health Moonshot" are you working to achieve. *

You can select more than one.

 
Which program are you interested in being consider for? *

Currently accepting submissions for the StartUp Health Moonshot Academy! We'll be launching another Call for Innovation with SAP in the fall. If you would like to be considered in the meantime, please select SAP below and let us know how you rank in their criteria.

 
Your Solution

 
Your Solution's Target Customer & Traction *





 
Your Solution's Disease Specialty *





 
Your Solution's Health Spectrum Focus *





 
Your Solution's Workflow *





 
Your Solution's Analytics & Value Based Care *





 
Your Solution's Technology *





 
Your Solution's CHP Integration *





 
Your Solution's Revenue Share Potential *





Thank you for completing The 10-Minute Mindset Audit™!

If you have any questions, please email us at innovate@startuphealth.com!
Thank you for completing The 10-Minute Mindset Audit™!

We will be in touch in the coming months as we launch additional Calls for Innovation with SAP. If you have any questions, please email us at innovate@startuphealth.com!