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Step
1
of
10
10%
1. How many doctors are in your practice?
(Required)
1
2
3
2. How many staff members do you currently have?
(Required)
1-2
3-5
6-9
10 or more
3. What are the main goals for your practice?
(Required)
Increase patient volume
Improve staff performance and efficiency
Streamline business operations
Enhance marketing and patient retention
Lower costs and improve profitability
Other (please specify)
Other - What are the main goals for your practice?
4. What are your biggest concerns about running your practice?
(Required)
Managing patient flow
Staff training and retention
Rising operational costs
Outdated technology
Lack of effective marketing
Other (please specify)
Other - 4. What are your biggest concerns about running your practice?
(Required)
5. How would you describe the current state of your practice?
(Required)
Growing steadily
Stable, but looking to improve
Facing challenges and in need of immediate help
Just getting started
6. Which areas do you feel need the most improvement?
(Required)
Business operations
Patient acquisition and retention
Technology and IT infrastructure
Staff performance and training
Cost management
Marketing strategies
Other (please specify)
Other - Which areas do you feel need the most improvement?
(Required)
7. What kind of support are you looking for from a consulting partner?
(Required)
Business operations
Patient acquisition and retention
Technology and IT infrastructure
Staff performance and training
Cost management
Marketing strategies
Other (please specify)
Other - 7. What kind of support are you looking for from a consulting partner?
(Required)
8. How soon are you looking to make changes in your practice?
(Required)
Immediately
Within the next 1-3 months
4-6 months
Just exploring options for now
9. Please provide any additional information that would help us understand your needs:
(Required)
Immediately
Within the next 1-3 months
4-6 months
Just exploring options for now
Office Name
(Required)
Doctor’s name
(Required)
Email
(Required)
Phone
(Required)
Website