Rich Dentist Coach &
Case Acceptance Expert
B R A D Y G R O U P L L C
“I don’t know where to start, I was tired, I was discouraged. Now, I really enjoy coming to work. The financial impact has become significant. My net income is now a little more than $100,000.00 higher than it was last year at this time.”
- Don Aust, D.D.S., Grand Junction, CO
more testimonials
(Private and Confidential)
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Part 1: Tell me about where you are now
Is your practice giving you 6 Weeks Off per year to do the things you enjoy?
No
Yes
Is your Stress Level at a low level?
No
Yes
Is your schedule organized for High Profit & Less Busy-ness?
No
Yes
Are you doing as many Big Cases as you would like?
No
Yes
Has your production reached a Plateau?
No
Yes
Are you getting as many New Patients as you want?
No
Yes
Are you marketing your practice to existing patients?
No
Yes
Are you getting Paid Before You Start the treatment?
No
Yes
Are you tired of Sending Statements?
No
Yes
Is your Case Acceptance as High as you would like?
No
Yes
Is your Hygiene schedule as full as you would like?
No
Yes
Does your staff think you are Angry and Frustrated with them?
No
Yes
Do you find yourself Working Longer Hours yet never getting ahead?
No
Yes
Do you Feel Guilty about not giving enough time to your spouse and children?
No
Yes
Has it been difficult to keep your Team Committed and Motivated?
No
Yes
Are your team members making as much money as they would like?
No
Yes
Is your Retirement Funded so you can retire comfortably?
No
Yes
Part 2: Tell me about your business
What is your annual production?
As a percentage, how much is collected?
What is your staff size and job description?
What is your total overhead %,
not
including
your
salary and benefits?
What is your staff (all members) overhead % including benefits, taxes, etc.?
What is the average number of Crown & Bridge units you do monthly?
What is your Crown Fee?
What is your lab fee per unit?
Lab bill as a % of production?
What is your current Accounts Receivable?
How many new patients do you average per month?
Have you ever used a consultant/coach before? If so, when, who and what type of results did you get?
What is your level of interest? (10 = highest interest):
1
2
3
4
5
6
7
8
9
10
How did you hear about us?
Please choose one
Direct Mail
Email
Phone Message
Referral
Trade Show
Print Publication
Google
Other Search Engine
Other
Part 3: Tell me how to contact you
* First Name:
* Last Name:
* Practice Address:
* City, State, Zip:
* Practice Phone:
Home Phone:
Cell Phone:
* Email Address:
When is the best time to contact you?
(* Fields marked with an asterisk are required fields)
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