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Lead Form
1
What best describes your practice?
*
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I want to START my own business.
I want to INCREASE REVENUE $
I’m looking to SELL my business.
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2
Where is your practice based?
*
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USA
Canada
Other
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3
Please specify the 'Other' country where your practice is located.
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4
What location are you starting your business?
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USA
Canada
Other
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5
Please specify the 'Other' country where you plan to start your business.
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6
Name
*
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First Name
Last Name
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7
Phone Number
*
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Area Code
Phone Number
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8
Email
example@example.com
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9
Business or Practice Name
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10
Role in Practice
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11
Years in Business
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12
Type of Practice
*
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Medical Spa
Plastic Surgery/ Cosmetic Surgery
Cosmetic Gynecology
Cosmetic Dermatology
Integrative Medicine / Regenerative Medicine / Wellness/ Anti-Aging
Hair Restoration
Other
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13
Annual Revenue
$0- $1M
$1-$3M
$3-$6M
$6-$15M+
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14
How many locations do you own?
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15
What challenges are you currently facing in the practice?
*
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Please check all that apply.
Identifying growth opportunities within your practice
Financials, understanding data and KPIs, or becoming more profitable
Sales, phone skills, and patient conversions
Enhancing consultations and developing treatment plans to increase ROI
Best questions to ask patients to gain buy-in
Objection handling, overcoming price
Retention, increasing lifetime value
Staffing, compensation, management
Leads, marketing, patient growth
Operational efficiency
New practice
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16
Among the challenges you selected, which one do you believe would have the most significant impact on your business?
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17
What have you tried in the past to overcome these challenges?
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18
Was it successful? Why or why not?
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19
How Did You Hear About / Who referred Terri Ross Consulting?
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20
Why are you looking to sell?
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21
What stage are you currently in?
Bricks & Mortar (Build Out Stage)
Have A Location (Ready To Open)
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22
Why do you want to start your own aesthetics practice?
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23
What is your approach to funding your business?
*
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Self Funded
Bank Loan
Other
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24
Do you have an estimated cost for developing your practice?
*
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0 - 250K
250k - 500k
500K - 1M
1M+
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25
What expectations do you have in working with a consultant?
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26
If we can help you reach your desired monthly revenue goal, when do you want to get started?
Yesterday
Today
Within a week
Within a few months
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27
Are you ready to make a five figure investment to work with experts to get you the results
YOU
are looking for?
*
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YES!
NOT READY
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