Schedule Your

Strategy Session Today!

Step 1 of 2:

To start please tell us more about your Dental Practice.

How long has your practice been open? *

Not open yet

Opening in the next six months

1 to 3 years

4 to 7 years

7+ years

Are you the Practice owner and/or partner? *

Yes

Please explain your position.

What were your gross collections for the last fiscal year? Please select: *

Less than $500K

$500K - $1.0M

$1.0M - $2.0M

$2.0M +

How many active patients do you have? (visited your practice in the last 12 months) Please select: *

1 to 750

751 to 1,500

1,501 to 3,000

3,000 or more

Our monthly marketing budget is typically: Please Select: *

Nothing

$1 to $1,499/month

$1,500 to $2,999/month

$3,000 to $4,999/month

$5,000 to $9,999/month

$10,000 + /month

Briefly describe any marketing you currently invest in. *

What do you think is stopping you from reaching your monthly goals? Be honest. *

How willing and able are you to invest in yourself and your practice to achieve your monthly practice goals? *

You have the necessary financial resources to invest in the growth of your practice?

You have the ability to get the necessary financial resources to invest in the growth of your practice.

You have absolutely no financial resources available to you to do anything different then what you are currently doing and will keep getting the same results.

How soon do you want to get started on reaching your practice’s goals? *

Yesterday

Within the week

Within a month

Within the next quarter

Within the next year

What prompted you to contact us? *

Any questions or comments that you want us to discuss during your strategy session? *

Practice Name *

First Name *

Last Name *

What’s Your Best Email Address? *

Your Cell Phone Number *

What is an alternate phone number where we can reach you? *

Website *

Strategy Session Today!​

Strategy Session Today!