Private Practice Owner Study

1. 1. Are you the owner? Yes No
2. 2. Have your New Patients increased or decreased this year? Increased Decreased
3. 3. How has the recession currently affected your practice?
4. 4. What do you like most about being in Private Practice?
5. 5. What do you like least about it?
6. 6. What do you feel needs to be improved most in your practice?
7. 7. What do you want to accomplish most as an owner of a Private Practice?
8. 8. What, if improved, would make the largest positive change in your practice?
9. 9. What are your thoughts on Heathcare Reform and how may it affect your practice?

I am a Private Practice Owner and would like my complimentary Practice Assessment on the following topic(s): *

1. Increased Patient Referrals Improving Patient Retention Improve Cash Flow How do I best deal with staff problems? How do I acheive my goals? Increasing Reimbursements Front Desk Efficiency Direct to Patient Marketing
2. Name *Practice Name *
3. Email *Phone *
4. Best day & time to call *