PracticeBuilders - The nation's leader in healthcare-practice success since 1979

Never underestimate how much your patients and prospects judge you as a doctor by how your staff treats them, from the first inquiry call they make to your practice to their most recent appointment.

Take our quick 1-minute test and find out if your staff could do even better at booking first appointments and converting and retaining patients…

1. Do you have a system to track where your new patients are coming from and why they are coming (i.e. referring doctor, patient referral, Internet, Yellow Pages, etc.)?
   • Yes
   • No
2. Does your staff have a script to follow — or a consistent greeting — when answering phones?
   • Yes
   • No
3. Are you seeing a steady flow of first appointments into your practice?
   • Yes
   • No
4. What percentage of your patients leave your practice in a year, on average?
   • Less than 5%
   • 5-15%
   • 15-25%
   • Over 25%
5. How well does your staff work together?
   • Very Well
   • Okay
   • Like Red Sox and Yankee fans
6. Do you have a practice representative or a designated staff member who markets your practice to referring physicians and businesses?
   • Yes
   • No
7. How confident are you in your staff’s skills, abilities and performance?
   • Very confident
   • Not sure
   • Not confident
8. Do you feel that your front office needs a revamping of front desk and practice management responsibilities?
   • Yes
   • Not sure
   • No
9. Do you have appropriate leadership in your office to carry out your marketing goals and strategies?
   • Yes
   • Not sure
   • No

Please provide the following information. — Your survey results cannot be calculated without it.

^* Required

• ^*Name
• ^*Are you the practice owner
  • Yes
  • No
• If you're not the owner, what is your role in the practice?
• Practice Owner's Name
• Profession
• Specialty (if any)
• Practice Name
• ^*Address
• ^*City
• ^*State
• ^*Zip
• ^*E-mail
• ^*Phone
• Fax
• Best time to call
• Best number to call
• Home Phone (optional)
• Cell Phone (optional)

How did you hear about PracticeBuilders.com?

• Please Select E-mail Direct Mail News Article Professional Referral Magazine Ad Web Site Staff Member Search Engine Friend
• Please Provide More Detail:
  Example: Name of Publication, Search Engine Used, Web Site Name, Email Topic, Etc.
• Other: (Please specify)