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Free Practice Analysis

Our highly trained, caring staff want to help you to achieve your personal and practice goals. To do this we need to understand your practice and lets start by having you answer the following questions.

We will review the information to get an overview of your practice.

(Information will be treated confidentially. Items marked with * are required.)

Doctor's First Name: " onBlur="check(this);"> *
Doctor's Last Name: " onBlur="check(this);"> *
Type of Practice  *   If Other: 
Business Address: " onBlur="check(this);"> *
City: " onBlur="check(this);"> *
State:  *
Zip: " onBlur="check(this);"> *
Office Phone: " onBlur="check(this);"> *
Office Fax:
Cell Phone:
E-mail address: " onBlur="check(this);"> *
Comments:

Please answer all of the below questions.

1. We often fall behind schedule, creating stress for everyone.
>Mostly true Mostly untrue

2. Our number of missed appointments or cancellations are too high.
>Mostly true Mostly untrue

3. We do not receive as many referrals from our patients as we would like to.
>Mostly true Mostly untrue

4. I am spending more time in the practice than I want (or need) to.
>Mostly true Mostly untrue

5. I have had poor or limited success in hiring, retaining and/or training capable staff.
>Mostly true Mostly untrue

6. The rewards of running my practice do not outweigh the difficulties.
>Mostly true Mostly untrue

7. My quality of life is not what I want it to be.
>Mostly true Mostly untrue

8. Our accounts receivables are too high.
>Mostly true Mostly untrue

9. I have reached a ceiling or downtrend in my recent profitability and/or growth.
>Mostly true Mostly untrue

10. I don't have someone in charge of ensuring a consistent flow of new patients.
>Mostly true Mostly untrue

11. The stress level in my practice is higher than I would like it to be.
>Mostly true Mostly untrue

12. We are having difficulty getting patients to complete their treatment programs.
>Mostly true Mostly untrue

13. I often find myself solving problems that my staff should be able to solve on their own.
>Mostly true Mostly untrue

14. We don't get an effective return from our new patient marketing methods.
>Mostly true Mostly untrue

15. I do not have methods to hire, train and keep good staff.
>Mostly true Mostly untrue

16. We are not as effective at insurance collections as we should be.
>Mostly true Mostly untrue

17. We are having difficulty collecting the cash portion of our treatment plans from patients.
>Mostly true Mostly untrue

18. I am not paying competitive wages or bonuses to my staff.
>Mostly true Mostly untrue

19. I find I have to vary the educational steps I do with my patients because I have not found one that consistently works.
>Mostly true Mostly untrue

20. My methods for getting new patient are somewhat weak.
>Mostly true Mostly untrue

21. I do not have an organized program for educating my patients about the benefits of Chiropractic care.
>Mostly true Mostly untrue

22. There are ongoing staff problems, upsets or animosities.
>Mostly true Mostly untrue

23. There are areas of my practice that need improving and I am not certain or not motivated to take action.
>Mostly true Mostly untrue