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Many booked slots are fragile: attendance and conversion often decline in the 24 hours before a call, but the risk is detectable with lightweight signals and a human‑first rescue. This episode teaches a repeatable Appointment Health Score (0–10) built from five compact signals—confirmation micro‑commitment, pre‑sell asset engagement, response latency, booking origin, and a novel payment‑intent/micro‑survey reply signal—then maps scores to green/yellow/red triage bands. You’ll get exact 24‑hour rescue sequences (soft reconfirm, 60s value brief, conditional micro‑offer), three tonal scripts, CRM tagging rules and a conservative 7‑day manual pilot plan with measurable gates (example targets: +5–15% show‑rate lift and clearer appointment→offer delta). Includes a short case study showing an unexpected recovery and clear privacy/consent guidance. Assets in the show notes: 1‑page scorecard and spreadsheet pilot template so listeners can run the experiment this week.