Survey To Create a Thriving Practice

The answers your provide will help determine the exact plan you need to make your practice successful in the ways you want.

1. How did you hear about us?

How did you hear about us? Busch All Cash Academy Website

Magazine Advertisement

Other

2. Provide your first and last name:

Provide your first and last name:

3. Provide your mailing address, city and state:

Provide your mailing address, city and state:

4. Provide your email address:

Provide your email address:

5. Provide your best contact phone number:

Provide your best contact phone number:

6. If you have any websites, please list them here:

If you have any websites, please list them here:

7. How long have you been in practice?

How long have you been in practice?

8. Is your practice insurance based? Cash based? Or both?

Is your practice insurance based? Cash based? Or both?

9. Do you do decompression in your practice? If so, what type of machine do you have?

Do you do decompression in your practice? If so, what type of machine do you have?

10. How many new decompression patients are you starting per month?

How many new decompression patients are you starting per month?

11. How many new chiropractic patients are you starting per month?

How many new chiropractic patients are you starting per month?

12. List all therapies your provide in your office:

List all therapies your provide in your office:

13. What type of marketing are you currently doing?

What type of marketing are you currently doing? T.V.

Radio

Newspaper

Seminars

Direct Mail

Yellow Pages

Website

Other

14. How much are you investing monthly toward advertising?

How much are you investing monthly toward advertising?

15. How many hours are you putting in per week in your practice, including time for reports?

How many hours are you putting in per week in your practice, including time for reports?

16. What are you specific goals when it comes to number of patients you would like to start monthly and collected income monthly?

What are you specific goals when it comes to number of patients you would like to start monthly and collected income monthly?

17. What are your top 3 challenges in practice?

What are your top 3 challenges in practice?

18. What day and time can you set aside 30 minutes to speak with Jeremy, our Marketing Manager to go over your survey and arrange your Practice Consultation with Dr. Busch?

What day and time can you set aside 30 minutes to speak with Jeremy, our Marketing Manager to go over your survey and arrange your Practice Consultation with Dr. Busch?

19. How important do you feel a financial investment in yourself and your practice is to be successful?

How important do you feel a financial investment in yourself and your practice is to be successful? Very

Somewhat

Not At All

Survey To Create a Thriving Practice
Exit this survey

1. Your Practice Information

1. How did you hear about us?

2. Provide your first and last name:

3. Provide your mailing address, city and state:

4. Provide your email address:

5. Provide your best contact phone number:

6. If you have any websites, please list them here:

7. How long have you been in practice?

8. Is your practice insurance based? Cash based? Or both?

9. Do you do decompression in your practice? If so, what type of machine do you have?

10. How many new decompression patients are you starting per month?

11. How many new chiropractic patients are you starting per month?

12. List all therapies your provide in your office:

13. What type of marketing are you currently doing?

14. How much are you investing monthly toward advertising?

15. How many hours are you putting in per week in your practice, including time for reports?

16. What are you specific goals when it comes to number of patients you would like to start monthly and collected income monthly?

17. What are your top 3 challenges in practice?

18. What day and time can you set aside 30 minutes to speak with Jeremy, our Marketing Manager to go over your survey and arrange your Practice Consultation with Dr. Busch?

19. How important do you feel a financial investment in yourself and your practice is to be successful?

Survey To Create a Thriving PracticeExit this survey

1. Your Practice Information

1. How did you hear about us?

2. Provide your first and last name:

3. Provide your mailing address, city and state:

4. Provide your email address:

5. Provide your best contact phone number:

6. If you have any websites, please list them here:

7. How long have you been in practice?

8. Is your practice insurance based? Cash based? Or both?

9. Do you do decompression in your practice? If so, what type of machine do you have?

10. How many new decompression patients are you starting per month?

11. How many new chiropractic patients are you starting per month?

12. List all therapies your provide in your office:

13. What type of marketing are you currently doing?

14. How much are you investing monthly toward advertising?

15. How many hours are you putting in per week in your practice, including time for reports?

16. What are you specific goals when it comes to number of patients you would like to start monthly and collected income monthly?

17. What are your top 3 challenges in practice?

18. What day and time can you set aside 30 minutes to speak with Jeremy, our Marketing Manager to go over your survey and arrange your Practice Consultation with Dr. Busch?

19. How important do you feel a financial investment in yourself and your practice is to be successful?

Survey To Create a Thriving Practice
Exit this survey