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 Name
Last Name
Email (Only required if you want to see results)
example@example.com
What state (U.S.) or province are you in (Canada)?
Please Select
AL : Alabama
AK : Alaska
AZ : Arizona
AR : Arkansas
CA : California
CO : Colorado
CT : Connecticut
DC : District of Columbia
DE : Delaware
FL : Florida
GA : Georgia
HI : Hawaii
ID : Idaho
IL : Illinois
IN : Indiana
IA : Iowa
KS : Kansas
KY : Kentucky
LA : Louisiana
ME : Maine
MD : Maryland
MA : Massachusetts
MI : Michigan
MN : Minnesota
MS : Mississippi
MO : Missouri
MT : Montana
NE : Nebraska
NV : Nevada
NH : New Hampshire
NJ : New Jersey
NM : New Mexico
NY : New York
NC : North Carolina
ND : North Dakota
OH : Ohio
OK : Oklahoma
OR : Oregon
PA : Pennsylvania
RI : Rhode Island
SC : South Carolina
SD : South Dakota
TN : Tennessee
TX : Texas
UT : Utah
VT : Vermont
VA : Virginia
WA : Washington
WV : West Virginia
WI : Wisconsin
WY : Wyoming
Alberta (AB)
British Columbia (BC)
Manitoba (MB)
New Brunswick (NB)
Newfoundland and Labrador (NL)
Nova Scotia (NS)
Ontario (ON)
Prince Edward Island (PE)
Quebec (QC)
Saskatchewan (SK)
Are you a solo or group practice owner?
Solo
Group
During the next 12 months, do you expect the overall profitability of your practice to increase, decrease, or remain the same?
Increase / More Profitable
Decrease / Less Profitable
Remain 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 Difficult
Decrease / Less Difficult
Remain the Same / Same Difficulty
Are you noticing a general decrease in new client inquiries compared to one year ago?
Inquiries have decreased
Inquiries have stayed the same
Inquiries 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 - $99,999
More 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 - $99,999
More 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 million
Over $2 million
How many licensed clinicians currently work in your practice (including both W-2 and 1099)?
1-2
3-4
5–9
10–19
20–49
50-99
100-124
125–149
150–174
175-199
200-250
250+
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 practice
I outsource this to someone outside my practice
We pay a clinician to help with this at our practice
We have a dedicated part or full-time marketing person
An administrative staff person includes this in their broader duties
What is your most successful tool for generating new clients?
Word of mouth from other clients
Referrals from other providers
Paid ads (Google ads)
Directories (Psychology Today, Therapy Den, etc)
Public events that potential clients also attend
Social media
Speaking, 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 advantage
No, solo and group practices struggle equally to generate new client referrals.
I'm not sure
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