Practice Growth Call

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Jotform Filled

Yes

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Form Filled Date

Date

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utm_medium

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utm_campaign

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utm_source

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Tell us your role in the Practice so we understand how we can help. Type a question* This field is required.

I’m the Owner

I’m a Practice Manager

Other

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Are you currently a General Practice Owner in Australia?* This field is required.

I currently own a General Practice

I’m planning to open my General Practice in the future

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What areas of your Practice are you most focused on improving right now?* This field is required.

Boosting revenue or profit

Building or supporting my team

Attracting more GPs

Attracting more patients

Expanding to more locations

Reducing my workload

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How long have you been a General Practice Owner?* This field is required.

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Is your Practice part of a corporate or not-for-profit organisation?* This field is required.

My Practice is privately owned

It’s part of a corporate or not-for-profit group

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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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Are you currently a General Practice Owner in Australia?* This field is required.

YesI’m NO to No my General Practice in the future

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If you could double your profit in 12 months, could you handle it?

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Tell me about your business

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What Stage is your General Practice at:

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

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

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Full Name* This field is required.

First Name

Last Name

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My Full Name is* 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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Clinic name or Website URL* This field is required.

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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 you are prioritising business improvement?* This field is required.

Now. It's a high priority

1-3 Months. Important, just not right now

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