The document discusses user experience and metrics design at startups from the perspective of Jan Miksovsky, Co-Founder and VP of User Experience at Cozi. Some key points made include that design determines what the product is, finding a great designer is important, design should start by talking to users, and the need for iteration, as even great designers will miss aspects initially. Design requires trust in the designer from founders and executives. However, design alone is not enough - a company also requires funds, good management, distribution, a business model, hard work, and luck to succeed.