Practice Growth Call

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Jotform Filled

Yes

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Form Filled Date

Date

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Are you a General Practice Owner or ‘soon-to-be Owner’ in Australia?* This field is required.

YESNO

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If you could double your profit in 12 months, could you handle it?* This field is required.

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Tell me about your business* This field is required.

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What Stage is your General Practice at:* This field is required.

Longer than 3 months away from opening

Less than 3 months from opening my Practice

1-4 GPs

5-10 GPs

10+ GPs

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Before we book a call, we don’t work with Corporates, or Not-For-Profits* This field is required.

I confirm I am not part of a corporate, or a not-for-profit

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Just answer a few quick questions and then choose your time for your FREE Practice Growth Call…* This field is required.To start, just choose which one are you below…

Practice Owner

Practice Manager

Non Owner General Practitioner (GP)

Other

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My current business focus is* This field is required.Choose all that apply

Improve Profit

Improve Time Freedom

Building a Dream Team

Other

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Full Name* This field is required.

First Name

Last Name

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Full Name* This field is required.

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Clinic Name* This field is required.

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Your Best Email To Receive Everything Is:* This field is required.

example@example.com

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Your Phone Number So You Can Receive Your Practice Growth Call Session* This field is required.

Please enter a valid Australian mobile number.

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When are you planning to prioritise business improvements?

Now. It's a high priority

1-3 Months. Important, just not right now

Not yet. Not sure when I will get to it.