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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