Mastery Coaching Questionnaire
Answer every question as completely as possible. If for some reason the question doesn't apply please use "n/a". Use the Tab key to move to the next question.
Email address
Name
Your answer
Phone Number
Your answer
What are your three greatest concerns at this time?
Your answer
What is your vision for your business? How would it be if it were perfect?
Your answer
If it were perfect, what skills would you need to have?
Your answer
What mindset would you need to accomplish your business?
Your answer
If we created your business/practice as you described, how would you benefit?
Your answer
What do you feel is holding you back from creating your business/practice as you envision it?
Your answer
How will creating your business, as you defined it, affect other people and other aspects of your life?
Your answer
How would you describe your ideal patient or client?
Your answer
Do you know the most common objections heard in your office?
Your answer
If so, have you created solutions for them?
Do you effectively handle objections and complaints?
Do you have a marketing plan?
Do you have a patient education system?
For your most recently completed month what were your statistics for New Patients?
Your answer
Services billed?
Your answer
Collections?
Your answer
Accounts receivable?
Your answer
Fixed overhead?
Your answer
% of new patients by referral?
Your answer
Patient visits?
Your answer
Patient Retention?
Your answer
What is the maximum number of people you can give service to in one hour?
Your answer
What are your current office hours?
Your answer
How much profit would you like your business to be making annually?
Your answer
Do you have a personal budget?
Do you have a business budget?
How will you know how effective coaching has been?
Your answer
What result do you want from coaching?
Your answer
I would like a FREE 30-minute introductory coaching call with Dr. Steve.
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