Free strategy call**

1

1. Where are you right now with Treatment Coordination?* This field is required.

Further developing the role

Just starting out

2

Name* This field is required.

First Name

Last Name

3

Email* This field is required.

example@example.com

4

Phone Number* This field is required.

Please enter a valid phone number.

5

Did someone refer you?* This field is required.

6

Your business website URL* This field is required.

7

How much is a high value patient worth to you?* This field is required.

8

How many high value patients do you currently convert a month to treatment?* This field is required.

9

How many clinicians do you have treating high value patients?* This field is required.

10

Do you have a breakdown of your conversion rates and average new patient spend?* This field is required.

11

What is your current monthly turnover?* This field is required.

Less than 25K

More than 25K

More than 50K

More than 75K

More than 100K

12

How much more income do you need per month from high value patients?* This field is required.

13

What is your biggest challenge right now with conversion of patients?* This field is required.

14

Tell me about your TCO team and how you use the role currently or plan to use the role?* This field is required.

15

Do you currently have a fixed marketing budget PA that is a set percentage of your turnover?* This field is required.

Yes

No. I invest ad hoc

16

How much have you invested in marketing in the last 12 months for your clinic?* This field is required.

17

Finish the statement below:* This field is required.Growing your business requires investment not just in your TCO but also your marketing and brand. Right now I…

Have the financial resources to invest in my business

Have access to financial resources to invest in my business

Do not have any financial resources at all and I am going to keep my business exactly where it is

18

Do you commit to showing up for your scheduled appointment on time?* This field is required.***IMPORTANT*** we do not reschedule any missed calls. We have a high volume of people wanting calls so do not reschedule anyone.

Yes

No

19

How soon do you wanted to get started?* This field is required.

20

Do you have a dedicated consultation room for your TCO?* This field is required.

YESNO

21

What would working with Laura do for your business?* This field is required.

22

Finally, what does success look like to you?* This field is required. If we asked you this question 12 months from today and you were looking back over those 12 months what has to happen in your life both personally and professionally for you to feel happy with your progress?