Please Provide Your Information
First Name
*
Last Name
*
Email
*
Phone
*
City
*
State
*
Have you attended any previous business training or sales training workshops in the past?
Yes
No
What are the top 3 challenges in your role that you would like to improve?
What are the Top 3 sales or customer service strategies that you would like to learn most?
What are the top 3 financial strategies you would like to learn the most?
How many front desk staff do you have?
What practice management software do you use?
Are you currently operating the software as efficiently as possible?
Are you currently running all of the necessary reports that you need to help you measure and manage KPIs and Revenue Growth? If no, why not?
Is measing and understanding data something you need help with?
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
Do you track how many leads come in monthly?
A great deal
A lot
A moderate amount
A little
None at all
How do you track leads?
What is your conversion rate?
Inquiry to consult?
A great deal
A lot
A moderate amount
A little
None at all
Consult to close?
A great deal
A lot
A moderate amount
A little
None at all
Do you have a follow up plan in place if they don't book?
Yes
No
When a patient calls to schedule an aesthetic consultation and they do not book, do you gather the information and add them to your practice management software?
Always
Usually
Sometimes
Rarely
Never
Do you give prices over the phone?
Yes
No
Does the practice charge a consultation fee?
Yes
No
Is the fee applied to the treatment?
Yes
No
Other
Do patients guarantee their consultation appointments with a credit card?
Yes
No
Do you charge something to hold appointments over a certain amount of money?
Yes
No
How much time do you allocate for a consultation? Surgical vs. Non Surgical
During the consultation do you develop long term treatment plans?
Yes
No
Do you use a cosmetic interest questionaire?
Yes
No
Do you struggle with compensation?
A great deal
A lot
A moderate amount
A little
None at all
Do you understand how to structure your P&L? or Is this an area you need help?
Extremely familiar
Very familiar
Somewhat familiar
Not so familiar
Not at all familiar
If you could improve 3 things in the practice that would add the most value and improve revenue growth what would they be?
What do you want most out of attending the 4S Summit and what would it mean for you?
Are you committed to execution and accountability when you return?
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
Do you have any dietary restrictions?
Diary
Gluten
Vegan
Vegetarian
Allergies
None of the above
I agree to
terms & conditions
provided by the company. By providing my phone number, I agree to receive text messages from the business.