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Multi step Form
Are your prices in line with competitors?
Yes
No
Don’t know exactly
What is your year-to-date invoice count compared with the same period last year?
Up slightly
Up >5%
Stable
Down slightly
Down >5%
How does your average ticket (ATC/ACT) compare with 12 months ago?
Up slightly
Up >5%
Stable
Down slightly
Down >5%
When is your next available appointment:
Up slightly
Up >5%
Stable
Down slightly
Down >5%
What is your average patient wait time?
Up slightly
Up >5%
Stable
Down slightly
Down >5%
Which if any of these challenges affected your practice in the last year?
Up slightly
Up >5%
Stable
Down slightly
Down >5%
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