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ClinicSaver Supplies | Supplier Questionnaire

ClinicSaver Supplies is preparing to launch a deferred payment program that will allow clinics on our platform to buy now and pay later on their supply orders. For you as a supplier, this means you are paid upfront and in full on every financed order, at no cost to you. All program fees are carried by the clinic, while clinics gain the flexibility to place larger and more frequent orders.

To design the program, our financing partner needs a clear picture of typical order behavior, clinic purchasing patterns, and payment performance across our supplier network. This takes around 10 to 15 minutes.

Confidentiality: all responses are strictly confidential and used solely for structuring the program. Clinic names are not required at any point. Please use codes (Clinic A, Clinic B, etc.). Approximate figures and ranges are perfectly acceptable.

Intro + Company Information

Name

Years in Business

Contact Name

Phone Number

Primary product categories offered

Sales & Order Metrics

Approximate total monthly sales to UAE clinics (AED)

A
B
C
D
E
F
G

Average order value (AED)

Typical minimum order value (AED)

Average re-order frequency per clinic

A
B
C
D
E

Approximate share of sales from repeat clinic customers (%)

Product Mix

Top 3 to 5 product categories by order frequency

Items or categories with the highest single-transaction values

Approximate split: recurring consumables vs. one-off capital purchases (e.g., 80% / 20%)

Clinic Portfolio (Anonymized)

Please provide details for representative clinic customers using codes only. Choose a mix that reflects your overall portfolio, not only your best accounts.

Clinic A:

Specialty

Tenure with you

A
B
C
D

Average monthly purchases (AED)

Average order value (AED)

Typical payment terms

Clinic B:

Specialty

Tenure with you

A
B
C
D

Average monthly purchases (AED)

Average order value (AED)

Typical payment terms

Clinic C:

Specialty

Tenure with you

A
B
C
D

Average monthly purchases (AED)

Average order value (AED)

Typical payment terms

Clinic D:

Specialty

Tenure with you

A
B
C
D

Average monthly purchases (AED)

Average order value (AED)

Typical payment terms

Clinic E:

Specialty

Tenure with you

A
B
C
D

Average monthly purchases (AED)

Average order value (AED)

Typical payment terms

Payment & Credit Experience

Approximate share of clinic sales made on credit terms (%)

Approximate share of clinics that pay within agreed terms (%)

Average payment delay beyond agreed terms (days)

Share of receivables beyond 60 days overdue (%)

Bad debt written off over the last 12 months (approx. % of clinic sales)

Would you participate in a program where you are paid upfront and in full on financed orders, at no cost to you, while the clinic pays over time?

A
B
C