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Step
1
of
6
16%
Are you achieving the results you want from your practice?
*
Yes I have the time and money I want
Yes I am achieving my financial goals but have no time
I’m not hitting my financial goals and I don’t have enough time
How long have you owned your practice?
1-3 yrs
3-5 yrs
5-10yrs
10+
What stage of growth is your practice at?
Survival (just getting by)
Profitable (Going OK but could do better)
Successful (Looking to scale)
About your self, what's your name?
*
First
Last
If you are not exactly where you want to be, what do you think is getting in the way?
*
Do you have a website?
*
Yes
No
Website
Approximately, What is the size of your active patient base?
0 - 250
250 - 500
500 - 1,000
1,000 - 2,500
2,500 - 5,000
In your opinion, What do you think will need to change to achieve your goals?
*
A Better team
Better Systems
More Patients
More returning patients
What is your email address? I'd like to send you some information
*
What's your mobile phone number?
*
What kind of situation are you in right now?
I want a DIY Solution (I would rather learn it and me/my team do it internally)
I want a Done With Me Solution (Do the work myself with specific coaching/guidance)
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Name
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