Call our office today to schedule your appointment!

207-657-3553

Practice Health Questionnaire

Fill out our practice health questionnaire.

1. How many operatories?

2. How many staff members of each position?

Doctors

Hygienists

Assistants

Admin

3. Office schedule:

Monday

Tuesday

Wednesday

Thursday

Friday

4. Appointment Length

5. Production

2019

2020

2021

Doctor

Per hygienist

6. Collection %

7. Active patient base

8. Payroll cost/month

9. Supply cost/month

10. Supply vendors

11. Software systems

12. Marketing methods

13. Morning meetings?

Part 2

Goals

6 month production:

6 month other:

1 year production:

1 year other:

5 year production:

5 year other:

2. Biggest day to day frustrations

3. Staffing

Needs:

Strongest team members:

Weakest team members:

Hiring process:

4. Qualities & skills you look for:

Hygienists

Assistants

Admin

reCAPTCHA

If you are human, leave this field blank.

Please note that e-mail is not a secure form of communication. Please use this form to send your contact information, and we will respond to your inquiry using a secure method. This form should not be used by children under the age of 18.

Home

Ready to take the next step?

Share Your Future Goals

Request a Consultation

Tell Us About Your Practice

MD Management Consulting Services

31 Portland Road Gray, ME 04039

207-657-3553

[GTranslate]

Dentalfone