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We’d like to know more about your medical practice.

Business Name *Email *What are your primary goals for the next two years? *Revenue, new offices, strategy, etc.How do you reach your ideal customers currently? *

• Mailers
• Trade Shows
• Billboards
• Social Media
• All of the above

What are you currently doing to convert leads to customers? *On a scale from 1-10 how would you rate your current Facebook strategy? *Rate 1 out of 10Rate 2 out of 10Rate 3 out of 10Rate 4 out of 10Rate 5 out of 10Rate 6 out of 10Rate 7 out of 10Rate 8 out of 10Rate 9 out of 10Rate 10 out of 10Who are your main competitors? *How many quality leads do you want per month? *From new marketing efforts, how many quality leads would you need in order to meet goals?What do prospects find interesting about you? *What sets you apart from the competition?What is the area you need the most help in? *What's the best date/time for our one-on-one Patient Opportunity Call?DateTimeWebsiteSubmit