SARAHCLARKCONSULTING Email Marketing -

Self Assessment

Learn More about Process, People, Paperwork and Patients!

First Name*

Last Name*

Email*

Practice Name*

Phone

How Satisfied are you Professionally?*

I love coming in every day and seeing my patients improve

I enjoy some aspects but not all

I don’t enjoy coming to work

Front desk efficiencies*

Tasks are Prioritized and Completed Timely

We are no better or worse than our competitors

It's a hot mess / Unorganized / Long Patient Wait Times / Poor Collections

How confident are you in your staff?*

I completely trust them

Some could use some improvement

If I could replace them I would

Rate your Company Culture*

Exciting / Enriching / Stimulating / Inclusive

I’m not sure / Haven’t really thought about it

Toxic / Outdated / Stressful / Disengaged

EHR / PM system*

I like it

Its OK / I don’t use it as efficiently as I could

I hate it / Give me paper

What is your biggest challenge in running your practice?*

Keeping up with Technology

Processes and Procedures

Staffing

Patient Engagement