Leads are different things to different people, and there are different kinds of leads. I know that moist will disagree with me, but I don't give a sh*t...hahaha. I like to buy targeted data lists (https://www.listshack.com/ ) for age 64+ and copy their info onto a recipe card. I then consider that a lead as they're probably in need of something I'm offering. I cold door knock these. This works good for Med Supps, but I wouldn't think it would work as well for FE.
Can you breakdown your "numbers"
Dks per day - to appointments - to apps ?