forms test - Acufast®

BABGAF Waste Calculator only (logged in)

form_purpose
Before we get started would you like your data presented in metric (mm/grams) or imperial (inches/lbs)*
- Metric (mm/grams)
- Imperial (inches/lbs)

Which estimation method is easier for you?*
- I know on average of how many boxes of needle I use in a month
- I know the average number of needles I use on a patient.
Which brand of needles are you currently using?*
Enter Name of your brand here*
Lets measure the box and enter its dimensions
Height (in mm)*
Length (in mm)*
Width (in mm)*
Height (in inch)*
Length (in inch)*
Width (in inch)*
How many needles per box?*
How many needles per box?*
How many tubes per box?*
How many tubes per box?*
Lets determine how many boxes you use a month
- For your convenience, we can automatically estimate your monthly needle usage based on the inputs you already shared with us
- At any point you can log in and view the status of your Forest and if need be, manually adjust the monthly projections to more correctly reflect your clinic needle use.
- Or you can choose to log in regularly, and manually input your monthly needle usage from time to time to see the current status of your forest and waste reductions.
Please make one of the following selections:*
- Yes, please automatically register my monthly needle usage based the data I have already entered.
- No, I want to manually enter my clinic needle usage to track my forest growth and needle waste reduction.
Method 1 - I know on average of how many boxes of needle I use in a month
Average number of boxes each month of length 15 mm needles*
Average number of boxes each month of length 25 -30 mm needles*
Average number of boxes each month of length 40 mm needles*
Average number of boxes each month of length 50 mm needles*
Average number of boxes each month of length 60 or 75 mm needles*
Average number of boxes each month of length 0.5 inch needles*
Average number of boxes each month of length 1 inch needles*
Average number of boxes each month of length 1.5 inch needles*
Average number of boxes each month of length 2 inches needles*
Average number of boxes each month of length 2.5 inches needles*
Method 2 - I know the average number of needles I use on a patient
How many patients a week do you see on average*
Enter number per week
How many needles on average do you use per patient?*
Enter number per patients
What percentage of the time do you use these lengths of needles?
Average percent per session of length 15 mm (0.5 inch) needles*
Average percent per session of length 25 -30 mm (1 inch) needles*
Average percent per session of length 40 mm (1.5 inch) needles*
Average percent per session of length 50 mm (2 inches) needles*
Average percent per session of length 60 mm (2.5 inches) needles*

Total waste generated with current brand
(in Litres)
Total waste generated with current brand
(in inch³)
Total waste generated with Acufast Brand
(in Litres)
Total waste generated with Acufast Brand
(in inch³)
You reduced your waste by
(in percent)
Based on your monthly needle usage, with our Buy a box and grow a forest Campaign,
you would be planting the following number of trees a month
Number of trees
In time you will grow a forest!

Join us in our Grow a Forest World Campaign and be a part our give back to nature movement!
Signup with us to show your commitment to reducing needle waste in your clinic and giving back to the environment. When you click on the “I am part of the change” and signup, here is what happens:
- You join our movement of practitioners around the world growing a forest with every box of Acufast needles you buy
- You can download and print a 4”x 6” folded sign that you can put on your registration desk, alerting your patients, that you and your staff are committed to being part of the solution. The card announces that the clinic is consciously reducing needle waste and is also growing a forest! (Sample pic)
- You also get to download a colourful jpeg image that can be used on your website to promote your commitment to waste reduction (sample pic)
- As you participate in the campaign you will track and see your accumulated waste and the number of trees planted based on your needle usage. Plus receive badges that will appear for printout on the clinic display card or online web image. (sample images)
- When you log in you will see a graphic forest of your forest and watch it grow as you buy and use Acufast needles.
- You also will be part of the inner circle and be the first to find out when we release even more ecofriendly features for our brand!
- Best of all you will be part of a world wide movement of practitioners consciously choosing to track the needle wastage and give back to the environment.
- So join us! Its fun, rewarding and so easy to participate!

Name*
First Last
Clinic Name
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Username*
Email*
Password*
Confirm Password*
Grow Your Forest and Tracking Your Waste Reduction
hidden_total_waste_current_brand_metric
hidden_total_waste_current_brand_imperial
hidden_total_waste_acufast_brand_metric
hidden_total_waste_acufast_brand_imperial
hidden_reduced_waste_by
hidden_number_of_trees

Acufast Dashboard Sign-Up

form_purpose
Name*
First Last
Clinic Name
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Username*
Email*
Password*
Confirm Password*

Let's calculate how much waste you generally create with your current brand
Before we get started would you like your data presented in metric (mm/grams) or imperial (inches/lbs)*
- Metric (mm/grams)
- Imperial (inches/lbs)

Which estimation method is easier for you?*
- I know on average of how many boxes of needle I use in a month
- I know the average number of needles I use on a patient.
Which brand of needles are you currently using?*
Enter Name of your brand here*
Lets measure the box and enter its dimensions
Height (in mm)*
Length (in mm)*
Width (in mm)*
Height (in inch)*
Length (in inch)*
Width (in inch)*
How many needles per box?*
How many needles per box?*
How many tubes per box?*
How many tubes per box?*
Lets determine how many boxes you use a month
Method 1 - I know on average of how many boxes of needle I use in a month
Average number of boxes each month of length 15 mm needles*
Average number of boxes each month of length 25 -30 mm needles*
Average number of boxes each month of length 40 mm needles*
Average number of boxes each month
Average number of boxes each month of length 50 mm needles*
Average number of boxes each month of length 60 mm or 75 mm needles*
Average number of boxes each month of length 0.5 inch needles*
Average number of boxes each month of length 1 inch needles*
Average number of boxes each month of length 1.5 inch needles*
Average number of boxes each month of length 2 inches needles*
Average number of boxes each month of length 2.5 or 3 inches needles*
Method 2 - I know the average number of needles I use on a patient
How many patients a week do you see on average*
Enter number per week
How many needles on average do you use per patient?*
Enter number per patients
What percentage of the time do you use these lengths of needles?
Average percent per session of length 15 mm (0.5 inch) needles*
Average percent per session of length 25 -30 mm (1 inch) needles*
Average percent per session of length 40 mm (1.5 inch) needles*
Average percent per session of length 50 mm (2 inches) needles*
Average percent per session of length 60 mm (2.5 inches) needles*

Total waste generated with current brand
(in cm³)
Total waste generated with current brand
(in inch³)
Total waste generated with Acufast Brand
(in cm³)
Total waste generated with Acufast Brand
(in inch³)
You reduced your waste by
(in percent)
Based on your monthly needle usage, with our Buy a box and grow a forest Campaign,
you would be planting the following number of trees a month
Number of trees
In time you will grow a forest!

Register with Acufast & Join the Acufast Movement!
Let your patients know you're a part of the Acufast Movement - a commitment to reducing acu-trash and reforesting the planet - and inspire your colleagues to join too!
When you register an account, you get:
- Automatic calculation of your estimated acu-trash savings and number of trees planted. Watch your forest grow!
- Free downloadable & printable clinic cards to let your patients know you're an eco-friendly clinic.
- Free downloadable graphics for your website to promote your earth-friendly needle use.
- Brag-worthy badges to celebrate the number of trees you've planted with Acufast needles.
- Insider access to Acufast news and new product releases.
So join us! It's fun, rewarding & so easy to participate!

Grow Your Forest and Tracking Your Waste Reduction
- For your convenience, we can automatically estimate your monthly needle usage based on the inputs you already shared with us
- At any point you can log in and view the status of your Forest and if need be, manually adjust the monthly projections to more correctly reflect your clinic needle use.
- Or you can choose to log in regularly, and manually input your monthly needle usage from time to time to see the current status of your forest and waste reductions.
Please make one of the following selections:*
- Yes, please automatically register my monthly needle usage based the data I have already entered.
- No, I want to manually enter my clinic needle usage to track my forest growth and needle waste reduction.

Waste Calculator only (logged out)

Let's Calculate Your AcuTrash Savings!
form_purpose
Would you like your data to be presented in metric (millimeters/litres) or imperial (inches/gallons)?*
- Metric (mm/grams)
- Imperial (inches/lbs)

How would you like to estimate your needle usage?*
- Average number of boxes used in a month
- Average number of needles used on a patient
- For your convenience, we can automatically estimate your monthly needle usage based on the inputs you already shared with us
- At any point you can log in and view the status of your Forest and if need be, manually adjust the monthly projections to more correctly reflect your clinic needle use.
- Or you can choose to log in regularly, and manually input your monthly needle usage from time to time to see the current status of your forest and waste reductions.
Please make one of the following selections:*
- Yes, please automatically register my monthly needle usage based the data I have already entered.
- No, I want to manually enter my clinic needle usage to track my forest growth and needle waste reduction.
Which brand of needles are you currently using?*
Enter Name of your brand here*
Lets measure the box and enter its dimensions
Height (in mm)*
Length (in mm)*
Width (in mm)*
Height (in inch)*
Length (in inch)*
Width (in inch)*
How many needles per box?*
How many needles per box?*
How many tubes per box?*
How many tubes per box?*
On average, how many boxes of each length do you use per month?
15mm needles*
25 -30mm needles*
40mm needles*
50mm needles*
60mm - 75mm needles*
0.5inch needles*
1inch needles*
1.5inch needles*
2inches needles*
2.5inches needles*
On average, how many patients do you see in a week?*
On average, how many needles do you use per patient?*
What percentage of the time do you use these lengths of needles? (Ensure your total is 100%)
15mm (0.5inch) needles*
25 -30mm (1inch) needles*
40mm (1.5inch) needles*
50mm (2inches) needles*
60mm - 75mm (2.5inches) needles*

Join us in our Grow a Forest World Campaign and be a part our give back to nature movement!
Signup with us to show your commitment to reducing needle waste in your clinic and giving back to the environment. When you click on the “I am part of the change” and signup, here is what happens:
- You join our movement of practitioners around the world growing a forest with every box of Acufast needles you buy
- You can download and print a 4”x 6” folded sign that you can put on your registration desk, alerting your patients, that you and your staff are committed to being part of the solution. The card announces that the clinic is consciously reducing needle waste and is also growing a forest! (Sample pic)
- You also get to download a colourful jpeg image that can be used on your website to promote your commitment to waste reduction (sample pic)
- As you participate in the campaign you will track and see your accumulated waste and the number of trees planted based on your needle usage. Plus receive badges that will appear for printout on the clinic display card or online web image. (sample images)
- When you log in you will see a graphic forest of your forest and watch it grow as you buy and use Acufast needles.
- You also will be part of the inner circle and be the first to find out when we release even more ecofriendly features for our brand!
- Best of all you will be part of a world wide movement of practitioners consciously choosing to track the needle wastage and give back to the environment.
- So join us! Its fun, rewarding and so easy to participate!

Name*
First Last
Clinic Name
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Username*
Email*
Password*
Confirm Password*
Grow Your Forest and Tracking Your Waste Reduction
hidden_total_waste_current_brand_metric
hidden_total_waste_current_brand_imperial
hidden_total_waste_acufast_brand_metric
hidden_total_waste_acufast_brand_imperial
hidden_reduced_waste_by
hidden_number_of_trees

BABGAF Waste Calculator only (logged in)

Method 1 - I know on average of how many boxes of needle I use in a month

Method 2 - I know the average number of needles I use on a patient

Join us in our Grow a Forest World Campaign and be a part our give back to nature movement!

Grow Your Forest and Tracking Your Waste Reduction

Waste Calculator Reminder

Acufast Dashboard Sign-Up

Method 1 - I know on average of how many boxes of needle I use in a month

Method 2 - I know the average number of needles I use on a patient

Register with Acufast & Join the Acufast Movement!

Grow Your Forest and Tracking Your Waste Reduction

Waste Calculator only (logged out)

Join us in our Grow a Forest World Campaign and be a part our give back to nature movement!

Grow Your Forest and Tracking Your Waste Reduction

Acufast is the first Earth Friendly Needle for practitioners who care about their patients and the planet.

Acufast is the first Earth Friendly Needle for practitioners who care about their patients and the planet.

Method 1 - I know on average of how many boxes of needle I use in a month

Method 2 - I know the average number of needles I use on a patient

Join us in our Grow a Forest World Campaign and be a part our give back to nature movement!

Grow Your Forest and Tracking Your Waste Reduction

Method 1 - I know on average of how many boxes of needle I use in a month

Method 2 - I know the average number of needles I use on a patient

Join us in our Grow a Forest World Campaign and be a part our give back to nature movement!

Grow Your Forest and Tracking Your Waste Reduction

Acufast Dashboard Sign-Up

Method 1 - I know on average of how many boxes of needle I use in a month

Method 2 - I know the average number of needles I use on a patient

Register with Acufast & Join the Acufast Movement!

Grow Your Forest and Tracking Your Waste Reduction

GROW A FOREST WITH US!

Method 1 - I know on average of how many boxes of needle I use in a month

Method 2 - I know the average number of needles I use on a patient

Register with Acufast & Join the Acufast Movement!

Grow Your Forest and Tracking Your Waste Reduction