Associate Questionnaire from Dr. Ace Goerig
To help me better understand your needs, I would appreciate it if you could take a few minutes to complete the following questionnaire. All information will be held in strict confidence and not shared.
Thank you!
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First Name
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Last Name
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Email
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What is your age?
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What is the name of the doctor you work with?
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Do you have any school debt?
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Do you have any other debt, if so, what is it?
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Would you like to learn how to fast track to becoming debt-free?
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What areas of clinical Endodontics do you struggle with?
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What file system do you use?
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What is your obturation technique?
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Do you have any other practice issues or specific results that you would like Dr. Goerig to address?
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Over and above your schedule for patient care, how many hours per week do you typically spend on other matters concerning the practice, such as administrative tasks, marketing, etc.?
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On a scale from 1 (low stress) to 10 (high stress), how much stress do you feel during a typical day?
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What situations or occurrences in the practice typically cause you the most stress, and how often do these situations occur?
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On a scale from 1 (not tired) to 10 (exhausted), how tired are you at the end of a typical day?
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What things make you upset in the practice, and how frequently do these things happen?
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For how long are you upset when you break an instrument or perforate?
What topics would you like to discuss? Please rank your answers in order of importance, 1 being the most important topic and 10 being the least important topic.
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Clinical techniques and tricks
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Creating a relationship with referring dentists
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Marketing
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Communication between doctors
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Communication between the doctor(s) and team
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Scheduling
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Stress reduction
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Debt reduction and financial freedom
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Provide a better experience for patients
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Covid protocols
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Submit
Thank you for taking the time to complete this questionnaire. I hope to connect with you in your future. If you would like to connect with me, send a message to
[email protected]
.
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To help me better understand your needs, I would appreciate it if you could take a few minutes to complete the following questionnaire. All information will be held in strict confidence and not shared.
Thank you!
settings
First Name
settings
Last Name
settings
Email
settings
What is your age?
settings
What is the name of the doctor you work with?
settings
Do you have any school debt?
settings
Do you have any other debt, if so, what is it?
settings
Would you like to learn how to fast track to becoming debt-free?
settings
What areas of clinical Endodontics do you struggle with?
settings
What file system do you use?
settings
What is your obturation technique?
settings
Do you have any other practice issues or specific results that you would like Dr. Goerig to address?
settings
Over and above your schedule for patient care, how many hours per week do you typically spend on other matters concerning the practice, such as administrative tasks, marketing, etc.?
settings
On a scale from 1 (low stress) to 10 (high stress), how much stress do you feel during a typical day?
settings
What situations or occurrences in the practice typically cause you the most stress, and how often do these situations occur?
settings
On a scale from 1 (not tired) to 10 (exhausted), how tired are you at the end of a typical day?
settings
What things make you upset in the practice, and how frequently do these things happen?
settings
For how long are you upset when you break an instrument or perforate?
What topics would you like to discuss? Please rank your answers in order of importance, 1 being the most important topic and 10 being the least important topic.
settings
Clinical techniques and tricks
settings
Creating a relationship with referring dentists
settings
Marketing
settings
Communication between doctors
settings
Communication between the doctor(s) and team
settings
Scheduling
settings
Stress reduction
settings
Debt reduction and financial freedom
settings
Provide a better experience for patients
settings
Covid protocols
settings
Submit
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Thank you for taking the time to complete this questionnaire. I hope to connect with you in your future. If you would like to connect with me, send a message to
[email protected]
.
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