DAX Copilot Demonstration/Trial

Name (required)

Company/Clinic/Organization Name

If you are one of a group who are interested in trying DAX Copilot, please indicate the number of interested individuals (approximately).

Address/Location (required)

Phone Number (required)

Email Address (required)

What is your field of practice? (required)

What EMR(s) do you use? (required)

Do you currently have a subscription to Dragon Medical One? (required) Do you currently have a subscription to Dragon Medical One? (required) Yes No

What dictation input devices are you currently using with Dragon Medical One? What dictation input devices are you currently using with Dragon Medical One? Smartphone - iPhone Smartphone - Android Headset microphone Handheld microphone Computer's built in microphone Desk situated microphone

Do you have an iPhone? (required) Do you have an iPhone? (required) Yes No

An iPhone is required to use DAX Copilot at this time. Are you able to borrow an iPhone for the purpose of the demo/trial? An iPhone is required to use DAX Copilot at this time. Are you able to borrow an iPhone for the purpose of the demo/trial? Yes No Maybe

Have you tried other Medical AI Solutions? (required) Have you tried other Medical AI Solutions? (required) Yes No

What AI solutions have you tried?

Do you currently subscribe to an Medical AI Solution? (required) Do you currently subscribe to an Medical AI Solution? (required) Yes No

To which AI solution are you subscribed? (required)

What would you like to be able to do with a Medical AI dictation solution?

Additional comments or message?