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Practice Breakthrough Assessment

Thank you for taking the time to engage in this assessment process. I value how precious time is and that your engagement with us is a choice.
My intention upon reviewing what you share on this assessment is to thoroughly provide as insightful and beneficial an exchange as possible for you during our telephone conversation.
Dean L. DePice
Please provide Practice Name
Enter Doctor Name
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Please enter Practice Address
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Please enter phone number with area code
Please enter phone number with area code
Please enter phone number with area code
Please enter phone number with area code
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Please enter phone number with area code
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10. Please list names of all Associate Doctors
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11. Team Members
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14. On a scale of 0-10, how do you feel about the competency of your accountant?
(zero being low and 10 being high)
Please enter a score from 0-10
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17. What are your present practice statistics?
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18. What are your goals for these practice statistics (within the next 6 months)?
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24. Have you been a part of any coaching/management company?
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28. Please write your exact daily practice hours.
Monday
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Tuesday
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Wednesday
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Thursday
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Friday
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Saturday
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29. Gross outstanding debts (please be as accurate as possible)
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30. On a scale of 0-10, 10 being your best score, please assess how you believe you are performing in the following
12 areas of practice and personal life.
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31. What is your greatest challenge you are currently experiencing in your practice?
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32. What do you experience as any other challenges you would wish to share with me?
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33. If your dreams were to become true, over the next several years, what would they look like in your life?
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Enter Code
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