Private Practice Owner Confidence Survey - October 2025

Practice Owner Confidence Index (10/25)

From SemiPrivatePractice.com - The Leader in Practice Peer Support Groups
About This Survey:

This is a monthly survey from SemiPrivatePractice.com to measure practice owner sentiment about the profitability and complexity of running their practice, in addition to eight rotating questions about different aspects of practice operations (marketing, compliance, billing, scheduling, etc).
Privacy / Data Use:

The individual data included in this survey will not be sold or shared to any third party. It will be used to create benchmarks and averages that will be shared with the participants to help them better understand industry norms and trends in both their state and nationwide. Anonymous responses are permitted, but results will be sent only to those who opt-in to the SemiPrivatePractice.com mailing list by providing an email address below.
Name (Not required)

First NameLast Name
Email (Only required if you want to see results)
example@example.com
What state (U.S.) or province are you in (Canada)?
Are you a solo or group practice owner?

SoloGroup
During the next 12 months, do you expect the overall profitability of your practice to increase, decrease, or remain the same?

Increase / More ProfitableDecrease / Less ProfitableRemain the Same / Same Profitability
During the next 12 months, do you expect the overall difficulty of running your practice to increase, decrease, or remain the same?

Increase / More DifficultDecrease / Less DifficultRemain the Same / Same Difficulty
Are you noticing a general decrease in new client inquiries compared to one year ago?

Inquiries have decreasedInquiries have stayed the sameInquiries have increased
For the first half of 2025, what was your average MONTHLY spending on advertising (online ads, directory listings, sponsorships, print ads, etc), NOT counting visits to referral sources, networking with other providers, etc.

$0 - $99$100 - 249$250 - 499$500 – $749$750 - $999$1,000 - $2,499$2,500 - $4,999$5,000 - $9,999$10,000 - $24,999$25,000 - $49,999$50,000 - $74,999$75,000 - $99,999More than $100,000 per month
For the first half of 2025, what was your average MONTHLY spending on marketing activities (visiting referral sources, networking events, email campaigns, etc. (not counting advertising expenses mentioned above.

$0 - $99$100 - 249$250 - 499$500 – $749$750 - $999$1,000 - $2,499$2,500 - $4,999$5,000 - $9,999+$10,000- $24,999$25,000 - $49,999$50,000 - $74,999$75,000 - $99,999More than $100,000 per month
What is the approximate MONTHLY REVENUE earned by your practice in 2024 (revenue minus total expenses). Exclude amounts paid to you as W2 compensation, (e.g., it was paid to you through a paycheck where where taxes were withheld).

I don't know.$0 - $2,500$2,500 – $4,999$5,000 - $9,999$10,000 - $24,999$25,000 - $49,999$50,000 – $99,999$100,000 – $199,999$200,000 – $399,999$400,000 – $499,999$500,000 – $599,999$600,000 – $699,999$700,000 – $799,999$800,000 – $899,999$900,000 – $999,999$1 million – $1.24 million$1.25 million – $1.49 million$1.5 million – $1.74 million$1.75 million – $1.99 millionOver $2 million
How many licensed clinicians currently work in your practice (including both W-2 and 1099)?

1-23-45–910–1920–4950-99100-124125–149150–174175-199200-250250+
Who is in charge or marketing and advertising at your practice?

I / We do not do any?I am in charge of this for my practiceI outsource this to someone outside my practiceWe pay a clinician to help with this at our practiceWe have a dedicated part or full-time marketing personAn administrative staff person includes this in their broader duties
What is your most successful tool for generating new clients?

Word of mouth from other clientsReferrals from other providersPaid ads (Google ads)Directories (Psychology Today, Therapy Den, etc)Public events that potential clients also attendSocial mediaSpeaking, books, or other content creation (not including social media)I'm not sure where our clients come from
Do you believe that group practices have an advantage over solo practitioners when it comes to generating new client inquiries?

Yes, group practices seems to have an advantageNo, solo and group practices struggle equally to generate new client referrals.I'm not sure
Should be Empty:

Practice Owner Confidence Index (10/25)

About This Survey:

Privacy / Data Use: