1. Patient interactions - case acceptance rate, telephone skills, new patient experience, consultations, patient education

2. Teamwork and communication - vision and mission statement, attitude, expectations, goal setting, team meetings

3. Marketing - strategic marketing plan in place, program tracking systems, patient generating website, social media, service strategy, effective marketing programs

4. Technology - computerized office and operatories, full leverage of practice management software, computerized recall, full use of computers and other dental equipment

5. Business tracking and management - overhead control, pricing strategy, payables, monitors, accounts receivable control, statements, collection, inventory control, follow-up on unscheduled treatment

6. Scheduling – Scheduling strategy, handling broken appointments, filling voids

7. Dentistry/clinical - quality dentistry and clinical services, treatment planning,
efficiency, hygiene retention, periodontal program, sterilization/infection control

8. Financing - patient financing strategy, insurance systems

9. I feel my staff would agree with me on the ratings I've given the areas listed in question 1-8.
 Yes No

10. I work in a dental practice with the following staff:
Number of doctors:
Number of other team members:

11. Comments about your practice's current strengths & weaknesses:

Your Name:
Practice/Company Name:
Address 1:
Address 2:
City:
State:
Zip:
Email:
Phone:
Fax:

Please enter the above text: