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The Clinic Health Evaluator - Digital
1
Filled Date
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Date
Day
Month
Year
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2
PAT Source
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Email
Peter
Peter
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Email
Peter
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3
utm_medium
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4
utm_campaign
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5
utm_source
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6
How diversified are your Practice's income streams (e.g., patient consultations, procedural fees, allied health services)?
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This field is required.
Reliant on a single income source.
Several income sources, but not well-balanced.
Multiple, well-balanced income sources.
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7
How well do you manage risks (e.g., patient safety, legal compliance, financial stability) in your Practice? Or do you have a risk management plan?
*
This field is required.
Little or no risk management in place.
Basic risk management measures.
Comprehensive risk management strategies.
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8
How efficiently do you deliver Healthcare services to your patients (e.g., appointment scheduling, patient flow, treatment processes)?
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This field is required.
Frequent delays and inefficiencies.
Occasional issues with service delivery.
Smooth and efficient service delivery.
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9
How well is your Practice recognised as a leading authority in General Practice or a specific area of Healthcare?
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Little or no recognition in the field.
Some recognition but not consistent.
Widely recognised as a leading authority.
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10
How effective are you at retaining staff (GPs and other) who align with your Practice's values and goals?
*
This field is required.
High turnover and poor alignment with Practice values.
Moderate retention with some alignment.
High retention of staff who align well with Practice values.
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11
How effectively can you set and maintain your Practice’s fees for services (e.g., consultations, procedures)?
*
This field is required.
Struggle to set and maintain fees.
Some control over pricing.
Strong ability to set and maintain fees.
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12
How effectively are you developing future leaders and skilled professionals within your Practice?
*
This field is required.
Little or no focus on leadership development.
Some initiatives for leadership development.
Strong programmes for developing future leaders.
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13
How much impact and influence does your Practice have in the local community or Healthcare industry?
*
This field is required.
Little or no impact and influence.
Some impact and influence.
Significant impact and influence.
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14
How attractive is your Practice’s culture to high-performing Healthcare professionals?
*
This field is required.
Culture does not attract high performers.
Culture attracts some high performers.
Culture highly attracts and retains high performers.
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15
Score
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16
Name
*
This field is required.
First Name
Last Name
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17
Email
*
This field is required.
example@example.com
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18
Phone Number
*
This field is required.
Please enter a valid phone number.
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19
I am a:
Practice Owner
Practice Manager
Non Owner General Practitioner (GP)
Other
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