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Assessment Form
What percentage of total production do you personally generate?
More than 70%
50-70%
30-50%
Less than 30%
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Which best describes your associate dentist situation?
No associates
One part-time associate
One full-time associate
Two or more full-time associates
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If you stopped doing dentistry from 90 days, what would happen to profitability?
The practice would most likely lose money
Profit would drop significantly
Profit would dip slightly but remain positive
Profit would remain mostly unchanged
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About how much of your revenue comes from hygiene?
Less than 25%
25-35%
35-45%
More than 45%
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Day-to-day operations are handled by:
Me -- I’m involved in almost everything
Me, with some delegation
An office manager handles most operations
A leadership team runs things without me
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After paying a market-rate dentist to do your clinical work, your estimated annual profit would be:
Under $250,000
$250,000-$500,000
$500,000-$1,000,000
Over $1,000,000
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Do your associate dentists have long-term agreements in place?
No associates
Associates, but short-term or informal agreements
One long-term agreement
Multiple long-term agreements
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If you reduced your clinical hours by 50%, what would happen to growth?
Growth would stop
Growth would stall
Growth would slow but continue
Growth would continue normally
Numeric Field
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What’s your first name?
What’s the best email for follow-up?
Phone/Mobile
Practice Name
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