Which best describes your
current situation? |
Other
|
Marketing is essential to success.
Would you agree? |
|
| What is your projected gross revenue growth over the next 12 months? |
|
| Does your practice have a written marketing plan? |
|
How would you rate your
current marketing program? |
|
Do you ask all new patients where
they heard about you? |
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| How do most new patients find you? |
|
| Are you in a competitive market? |
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| Are you a: |
|
| Over the past 2 years, what has been the revenue growth trend of your practice? |
|
| How would you rate your staff? |
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What is current marketing budget? (ads, gifts, websites, etc.) |
|
| What is your desired timeline for implementing a plan and some new or different marketing ideas? |
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| Name |
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| Title |
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| Business Name |
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| Address 1 |
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| Address 2 |
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| City |
|
| State |
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| Zip Code |
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| Phone |
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| Email |
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| Comments |
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| How did you hear about GPM? |
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Thank you for telling us about your practice! A member of our team will be in touch with you shortly to discuss our observations. |