"Clear Path" Floating Box Template to Service Request Form

“Clear Path” Floating Box Template Description

This multi-step floating box widget is perfect for healthcare providers looking to streamline appointment bookings or service requests. It features a clear "Start Your Journey to Better Health Today!" call to action, immediately engaging visitors. The design includes a prominent image of medical professionals, building trust and credibility. As a multi-step form, it guides users through the process, starting with a "Choose a physician" dropdown and a date picker for scheduling. The "Step 1 of 3" indicator clearly shows progress, reducing friction and encouraging completion. This widget is ideal for lead generation and collecting essential information for health and fitness services, making it easy for potential patients to connect with your practice. Its compact floating box layout ensures it's noticeable without being intrusive, providing a smooth user experience for booking consultations or requesting services.

Features

Multi-Step Form

Layout

Floating Box

Use case

Appointment Form Service Request Form

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