First Name *

Last Name *

Role Within The Practice *

Owner Provider
Business Owner Non Provider
Provider
Practice Manager
Marketing Manager
Private Equity
Other
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Email *

Mobile Phone *

Office Phone

How Did You Hear About Terri Ross Consulting? *

Practice Name *

Practice Type *

MedSpa
Plastic Surgery
Medspa & Plastic Surgery
Cosmetic Dermatology
Wellness Practice/Integrative and Functional Medicine
Cosmetic Dentist
Obyn/Women's Health
Other
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Years in Business *

How many business locations or profit centers do you currently manage? *

One location
2–5 locations
6–10 locations
11+ locations
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Who is involved in making business and financial decisions? *

Just me
A small leadership team (2–3 people)
A larger leadership team or board
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Country *

Country

Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, The Democratic Republic of the
Cook Islands
Costa Rica
Cote D"Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See (Vatican City State)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran, Islamic Republic Of
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea People's Democratic Republic
Republic of Korea
Kuwait
Kyrgyzstan
Land Islands
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macao
North Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Federated States of Micronesia
Moldova, Republic of
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territory, Occupied
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Eswatini
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania, United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
UK
Ukraine
United Arab Emirates
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
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Which of the following best describes your practice goals? *

I want to increase efficiency.
I want to Increase revenue ($).
I’m looking to sell.
I want to start my own business.
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Current Annual Revenue? *

$0 – $500K
$501K – $1.5M
$1.6M – $5M
$5.1M – $8M
$8.1M - 10M+
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What are the biggest challenges in your practice right now? (Please check all that apply) *

Growing revenue & profitability

Understanding financials, benchmarks, and KPIs

Reducing expenses

Sales - improving phone conversions

Sales - Increasing patient conversions

Increasing revenue per hour

Increasing average patient spend

Developing treatment plans

Overcoming objections and price resistance

Retaining patients and increasing lifetime value

Getting more leads or improving marketing

Streamlining operations & improving efficiency

Hiring, training, and/or managing staff

Launching a new or soon-to-be-open practice

Of the challenges you selected, which one—IF SOLVED—would have the greatest impact on your practice? *

Growing revenue & profitability
Understanding financials, benchmarks, and KPIs
Reducing expenses
Sales - improving phone conversions
Sales - Increasing patient conversions
Increasing revenue per hour
Increasing average patient spend
Developing treatment plans
Overcoming objections and price resistance
Retaining patients and increasing lifetime value
Getting more leads or improving marketing
Streamlining operations & improving efficiency
Hiring, training, and/or managing staff
Launching a new or soon-to-be-open practice
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What, if anything, have you tried in the past to overcome these challenges? *

Are you ready to make a 5-figure investment that will help you take your business to the next level? *

Yes!
Not willing to invest to help grow my business.
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Based on your responses, we’ll either connect you with a member of our team or guide you to the next step with the recommended services tailored to your needs.