Learn8WW Question Title * 1. How much did your practice collect in the previous full calendar year? $0-200,000 $200,000-400,000 $400,000-600,000 $600,000-800,000 >$800,000 OK Question Title * 2. What percentage of those collections was cash? 0-30% 31-50% 50-70% 70-90% >90% OK Question Title * 3. How many staff members do you employ? 0-3 3-5 6-7 8+ OK Question Title * 4. Do you have a personal trainer or rehab person on staff? Yes No OK Question Title * 5. Do you have a massage therapist on staff? Yes No OK Question Title * 6. If no to either of the above, do you have the ability to hire? Yes No OK Question Title * 7. What is the square footage of your clinic? Partner with another doctor 100-1499 sq ft 1500-2999 sq ft 3000-5000 sq ft >5000 sq ft OK Question Title * 8. What is your New Patient (NP) volume per month? <10 11-20 21-30 30-40 >40 OK Question Title * 9. What is your Office Visit Average (OVA-Collections divided by Patient Visits) collected per patient visit each month? $20-29 $30-39 $40-49 $50-59 $60-80 >$80 OK Question Title * 10. What is your new patient conversion rate? <50% 50-75% 75%+ OK Question Title * 11. Are most of your care plans "Pay As You Go" or are they structured & defined (ex. minimum 3 months with Fitness)? More Pay As You Go More Structure & Definition OK Question Title * 12. What is your patient visit average (PVA) the last 6 months of visits divided by NPs? <20 21-30 31-40 41-50 >50 OK Question Title * 13. What does it cost you to see a patient? (Monthly overhead plus your salary divided by patient visits) >$25 $26-40 $41-60 >$60 OK Question Title * 14. Do you have: Weekly Staff Meetings? KPI tracking (stats tracking)? Marketing Plan (written down)? Regular staff trainings (role playing)? Hiring system? OK Question Title * 15. What are your main sources of NP Marketing? Referral Social Media Corporate Wellness Talks Dinner Talks Personal Injury Insurance Plans OK Question Title * 16. What services do you provide beyond adjustments to increase "revenue per patient visit"? Massage Rehab/Personal training Nutrition and/or Supplement sales Acupuncture Products OK Question Title * 17. How do you feel when you grab the doorknob in the morning going into your office MOST days? Pumped Happy Neutral Depressed Stressed OK Question Title * 18. Do you have a clear, defined mission statement and values written down for your practice? Yes No OK Question Title * 19. If you were to take a 2-week break, would your office continue to achieve the same income as when you are there? Yes No OK Question Title * 20. Do you have clear objectives and goals with metrics for your practice? (ex. NP collections, overhead, etc.) Yes No OK Question Title * 21. How can we contact you? Name Company City/Town State/Province -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming Country Email Address Phone Number OK DONE