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Free Practice Analysis Survey - SPREAD GOODNESS -

Practice Analysis Survey

Practice Perfect Personal Profile
  1. (required)
  7. (valid email required)
Demographics
Office Description & Operations
  4. Do you own the building of your practice?
  9. Do you use:
  11. Do you pull patient files on every office visit?
  13. Do you have a menu of financial options for your patients?
  15. Do you have a written financial policy?
  17. Do you record daily office stats?
  21. Do you track missed patient appointments?
  23. Do you preform regular re-examinations?
  28. Do patients escort themselves to the adjusting rooms?
  30. How many DCs/MDs/DOs?
  34. Do you have in-office X-Rays?
  36. Do you x-ray all of your patients?
  38. Who reads your films?
  40. Do you a dedicated room for patient education?
  42. Do you have a physical therapist?
  44. Do you have a Physical Therapist Aid?
  46. How many Massage Therapists do you have?
  50. Have you ever done diagnostic work in your office?
  52. If YES, do you own the diagnostic equipment or use an outside service?
  58. Have you ever done blood work?
  60. Do you have a lab set up?
  68. Are you a participating Medicare Provider?
  75. Do you belong to a Practice Management Group?
  78. Are your needs being met?
  80. If NO, have you ever been a member of a practice management organization?
Personal
  1. Marital Status:
  5. Type of practice:
  7. Do you:
  9. Do you practice in more than one office?
  11. Do you share your office with anyone?
  13. Are you consistently treating the volume of patients you would like to?
  15. Are you consistently getting the amount of new patients you want?
  17. Are you consistently making the money that you feel you deserve?
  19. is your staff trained so that when you're out of the office you trust the job is being done correctly?
  21. Do you feel a balance between your home life and practice life?
  23. Are you taking the amount off per year that is necessary for you to stay rested and focused?
  25. Do you have patients stopping care prematurely?
  27. Do patients regularly refer their families and friends to you practice?
  29. Do you retain staff long term?
  31. Do you feel you have control over your finances?
  33. Do you have a minimum of three months personal and one month of practice overhead saved in case of injury or sickness?
  35. Do you believe your practice growth is reflective of your personal growth?
  37. Do you feel your goals are in alignment with your current actions?
  39. If your practice is stuck or has hit a plateau do you think it is due to your procedures?
  41. Or do you think it is because of your current skill set?
  43. Do you realize that having a coach/consultant will increase your chances of success and fulfillment?
  45. Will you try new things if what you're doing isn't working?
  47. May we call you to set up an appointment to speak with Dr. Dahan?