check

Business Diagnostic Form - 2024

Please take time to fill in the following form ahead of your first mentoring session

Click the button below to start.

Start

Question 1 of 29

Please enter your name, practice name and practice address and telephone number.

Question 2 of 29

Your details - please enter your best email address and personal contact number

Question 3 of 29

What is your practice website url? How old is this website?

Question 4 of 29

Business Overview - What sort of health business do you currently own?

Question 5 of 29

Do you have any team members? If yes, please list the number of admin and clinic therapists and state whether they are full time or part time.

Question 6 of 29

Do you have a systems manual that explains the main functions of the business?

A

Yes

B

No

Question 7 of 29

What are your current opening hours and days of operation and fees?

Question 8 of 29

What do you believe to be the unique selling proposition of your business – i.e. why should your clients choose your business over your competition?

Question 9 of 29

Describe your ideal client in as much detail as possible.

Question 10 of 29

What are the current strengths of the business?

Question 11 of 29

What are the current weaknesses of the business?

Question 12 of 29

Where so you see the biggest opportunities for future growth of your business?

Question 13 of 29

What is your current monthly turnover?

Question 14 of 29

Does you employ any staff? (A virtual receptionist counts). What is your current monthly wage bill?

Question 15 of 29

How many new patients do you see each month?

Question 16 of 29

What are your new clients main referral sources – i.e. where do the majority of your new patients come from?

Question 17 of 29

When did you last increase your fees and by how much?

Question 18 of 29

How do these fees compare to other similar providers in your local area?

Question 19 of 29

Nearly there - this last section is : A little about you - this is important as business mentoring is as much about the person being mentored as the business.

Please record your relationship status. Do you have children? If so - how many and how old are they?

Question 20 of 29

How much time do you spend with your family and friends each week?

Question 21 of 29

Do you feel that you are missing out on important family activities and occasions because of your business commitments?

Question 22 of 29

Do you currently treat patients yourself  in your practice? If so how many hours a week?

Question 23 of 29

How many hours a week do you spend on the other aspects of the business such as staff management, systems development and administration?

Question 24 of 29

How many hours a week do you spend on marketing activities and practice growth activities?

Question 25 of 29

Do you have one year goals for your monthly gross income, weekly consult number, monthly pre tax profit and monthly new patient number? If so what are they?

Question 26 of 29

What do you want your life to look like in 1 year from now?

Question 27 of 29

Is there anything else that you would like to add that will help me structure the best possible course of action for you and your health business?

Question 28 of 29

Last Few Questions - The Mentoring Program

What are the 5 main things you would like to work on in our coaching program?

Question 29 of 29

How many hours each week do you think you can devote to your homework, call preparation and tasks – be realistic please?

Confirm and Submit