Welcome Survey Form (#5) Welcome SurveyAre you the owner/manager of the practice? Yes NoFirst NameLast NamePlease provide practice owner's name:Owner NameOwner SurnamePractice NameIs your practice address the same as your billing address? (The address you supplied when you paid for the course) Yes NoPlease add a Practice AddressStreetSuite / Unit #CityStateZip CodeCountrySelect CountryAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelauBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDemocratic Republic of the Congo (Kinshasa)DenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRepublic of the Congo (Brazzaville)ReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (Dutch part)Saint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US)United States (US) Minor Outlying IslandsUnited States (US) Virgin IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabwePractice Specialty:- Select -PTMulti-DisciplinaryChiropracticOther (please fill in)Please fill in your practice specialtyPreviousNextTell me a bit about your practice:Practice websiteNumber of clinics in your practice:Average visits per week:Where did you hear about The Front Office GURU Training Academy? I got your emails Webinar Social Media Online search Referred by another practice ownerIf so, who referred you?What other options would help you and your team with participation and implementation? A members’ only library with special videos and written content Implementation tips and tricks for practice owners and managers Training on how to guide your team Weekly tips and tricks via email to keep us all moving along An in-site community so you and your team can ask questions and have community membership in the academy ‘Stats and Metrics’ Training A ‘how to hire front office staff’ course Quick Fix Videos for the front desk (fast implementation videos aside from the course)What patient management systems do you hope to learn more about - check all that apply How to successfully fill the schedule Getting patients to follow their prescribed weekly plan of care Building a balanced schedule Preventing billing errors Same-day cancellation and no-show prevention Preventing drop offs How to guide more potential patients to schedule on the initial call Front desk metrics training A system to help prevent new patient CX + no-shows How to discuss the cost of care with your patients How to convert shoppers to new patients Improving schedule control Billing tips and tricks How to handle difficult patients How to schedule out the full plan of care A system for onboarding new patients How to collect more at the time of service Handling Patient Objections Use of call lists Previous Submit Form
