ExecTech Client - Patient Management
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Name
*
First Name
Last Name
Position
Practice Name
*
1. How many operatories/exam rooms do you have in your office?
2. What special services do you offer?
3. On a scale of 1-10 with 10 being the best, how do you rate your treatment skills?
4. On a scale of 1-10 with 10 being the best, how do you rate your patient communication skills?
5. What is the first thing new patients do during their first visit? Who does it? How long does it take?
6. What is the second thing new patients do during their first visit? Who does it? How long does it take?
7. What is the third thing new patients do during their first visit? Who does it? How long does it take?
8. What is the fourth thing new patients do during their first visit? Who does it? How long does it take?
9. What else do new patients do during their first visit? Who does it? How long does it take?
10. What percentage of your new patients agree to follow your recommendations?
11. What percentage of your new patients actually follow your recommendations?
12. Are patients scheduled for maximal office production?
13. On average, how long do your patients wait to see you?
14. What is the most common patient complaint?
15. What percentage of your patients miss their appointments?
16. In what ways could your website be better?
17. What is unique about your care?
18. What are your goals regarding patient management or patient retention?
19. What are the biggest problems you need to overcome to reach these goals?
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