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Plastic Surgery practice questionnaire
Form is used to collect plastic surgery practice performance feedback
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* Indicates required question
Email
*
Your email
What is your business zip code?
*
Your answer
What are the business addresses?
*
Your answer
What is the name of the primary contact for business purposes?
*
Your answer
Who is the best Plastic Surgeon practice contact to represent the practice during employer engagements?
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Your answer
What plastic surgery treatments are the most profitable?
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Your answer
What plastic surgery treatments are the least profitable?
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Your answer
What plastic surgery treatments are performed the most?
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Your answer
What is the desired monthly revenue?
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Your answer
How close is the actual monthly revenue to the desired monthly revenue?
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Your answer
Which plastic surgery services payment options are available (HMO, Cash, In-House Payment Plans)?
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HMO
Cash
In-House Payment Plan
Required
How does the practice find new patients now?
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Referrals from current patients
Website or social media
Traditional mailers
Online provider directories for new employees
Radio or TV commercials
Required
Overall, how successful are the new patient generation methods?
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Not Successful
1
2
3
4
5
Extremely Successful
Final question: what is the top challenge you believe is stalling the plastic surgery practice's high performance?
*
Your answer
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