Evaluate your clinic 1 2 3 4 What type of clinic do you have?*General Dental PracticeCosmetic Dental PracticePediatric DentistOrthodontistPlastic SurgeonReconstructive Plastic SurgeonCosmetic SurgeonMedspaCosmetic ClinicGastrointestinal SurgeonDermatologistChiropractorObstetrics and GynecologyOral and Maxillofacial SurgeonOther What is your role at the clinic?*Owner / DoctorOwnerDoctorPractice ManagerOperations ManagerNurseReceptionistBookkeeperAccountantOtherHow many years has your clinic been established?*How many employees work at your clinic?*Which marketing activities do you engage in? (multiple choice)* Search Engine Optimization Google AdWords Social Media Marketing Facebook Advertising Direct Mail Drop Newspaper Advertising Magazine Advertising Word of Mouth Incentives Public Relations Email Marketing Marketing Automation None What percentage of your patient base has come via another business' referral?*If you're unsure of this number just select 30%, which is a medical industry average.How many new patients to you intake per week?*None1-56-1011-2021-3030+This is the number of new paying patients you receive each week. If you're unsure of the exact number, simply multiply the number of patients you had yesterday by five.What is the average dollar sale, per patient?*This is the average amount a patient spends when they visit your clinic. A very rough average is perfectly suitable.How often do you inform your patients about new procedures or promotions?*NeverOnce per weekOnce per fortnightOne per monthOnce a quarterOnce a yearWhenever we have something to promoteIn other words, how often do you send out an email newsletter, text message or letter to keep your existing patients informed?How many times will the average patient make a purchase from your clinic, over a 1 year period?*1 purchase2 purchases3 purchases4 purchases5 purchases6 + purchasesIf you're unsure of the exact number of purchases made by a patient over a one year period, enter 2 purchases which is a fair average in the medical industry.Out of 10 new leads, how many will convert into consultations?*In other words, you have 10 people phone and enquire about a procedure. How many of the 10 book in for a consultation? If unsure, a 50% conversion rate is industry average.Out of 10 new consultations, how many will convert into paying patients?*In other words, you have 10 consultations, how many out of the 10 will proceed with treatment? If unsure, a 50% conversion rate is industry average. Have your front desk team been educated on all procedures and treatments?*Yes, thoroughly.Yes, but could be better.Kind of.No, not at all.I don't know.Do your front desk team have and use phone scripts?*YesNoI don't knowHow does your front desk team respond back to enquiries?*EmailPhone CallBothI don't knowHow long does it take for your team to respond to an email or web enquiry?*Within 20 minsWithin trading hours that dayThe next business dayWhenever we canNeverI don't knowWhen an email or web enquiry is received, how long does it take for a member of your team to get in touch with them? If unsure, the industry average is "The next business day".If a lead is not converted into a consultation, is there further follow up?*YesNoI don't knowFor example, a person enquires about a procedure and decides not to go ahead. Do you continue to inform and educate this person about the procedure they were interested in? When patients are in the waiting room, do you give them brochures for other treatments and procedures?*YesNoI don't knowWe only offer one treatmentWhat is your monthly advertising budget?*$0.00Less than $500$500 - $1,000$1,000 - $2,000$2,000 - $4,000$4,000 - $7,000$7,000 - $10,000$10,000 +How much do you spend on all of your marketing & advertising activities per month?How many patient leads do you receive per month?*This is the total number of leads you receive from all your marketing channels, for example, website, phone, referral and walk in leads.Do you actively ask for patient referrals?YesNo Clinic DetailsClinic Name*Country*Country *AustraliaUntied KingdomUnited StatesClinic State*Clinic State *QLDNSWVICTASACTWASANTClinic State*Clinic State *AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificClinic WebsiteYour DetailsFirst Name*Last Name*Phone Number*Phone*Phone*Email* EmailThis field is for validation purposes and should be left unchanged.
