Kanvas App
Pricing
Your Portal
Dr. Jay
Coaching
Speaking
Academy
About
Careers
Who We Are
Testimonials
Contact
Send Us a Message
Submit a Support Ticket
Select Page
How can we help?
Submit a Support Ticket
Fill Out the Form and We'll Reach Out to you Once the Bundle is Ready
Name
First
Last
Practice Name
Email
This iframe contains the logic required to handle Ajax powered Gravity Forms.
CLOSE
Apply today and let us shape your coaching experience with Dr. Jay Greenstein.
Name
*
First
Last
Phone
*
Email
*
Organization
*
Organization Website
*
How long have you been in practice?
*
Number of patients per month
*
Which type of coaching are you interested in?
*
In-person Workshop
On-demand Coaching
In person Conference
Group Coaching
Personal 1:1
Webinars
if your are interested in in person, which location are you interested in?
Seattle
St. Louis
Atlanta
Washington DC
Dallas
What's your Budget?
> $100
< $100
< $1000
What problem are you trying to solve?
What area you are trying to improve?
What value are you trying to get from Dr. Jay Greenstein's coaching?
Additional Comments
How did you learn about Dr. Jay?
This iframe contains the logic required to handle Ajax powered Gravity Forms.
CLOSE
Step 1 of 11
9%
Do you have your vision, mission and core values written down and shared with all members of your team?
*
Yes
No
Partially
Have you defined your brand to ensure differentiation?
*
Yes
No
Partially
Do you have a written marketing strategy that encompasses internal, external and digital opportunities?
*
Yes
No
Partially
Do you track specific goals for key areas of the practice and share updates with members of the team?
*
Yes
No
Partially
Do you have a specific talent acquisition process and criteria to build and foster your practice’s culture?
*
Yes
No
Partially
Have you established and shared your one year targets, broken down by quarter, month and week?
*
Yes
No
Partially
Do you have a written revenue cycle management process and are you reviewing your progress at least weekly?
*
Yes
No
Partially
Do you have a plan of attack for your top three practice problems that need to be solved… Right NOW?
*
Yes
No
Partially
Do you have regular trainings with your team?
*
Yes
No
Partially
Do you have the freedom you desire?
*
Yes
No
Partially
Name
First
Last
Email
*
CAPTCHA
Name
This field is for validation purposes and should be left unchanged.
This iframe contains the logic required to handle Ajax powered Gravity Forms.
CLOSE
Full Name
*
Email
*
This iframe contains the logic required to handle Ajax powered Gravity Forms.
CLOSE
Full Name
*
Email
*
This iframe contains the logic required to handle Ajax powered Gravity Forms.
CLOSE
Be a Part of Dr. Jay’s VIP List
Full Name
*
Email
*
Organization
Organization Website
This iframe contains the logic required to handle Ajax powered Gravity Forms.
CLOSE
Sign up to receive Dr. Jay's Speaking Media kit
Dr. Jay’s Greenstein Speaking Media Kit contains his full bio, speaking introduction bio, curriculum vital, and all of his speaking topics.
Full Name
*
Email
*
This iframe contains the logic required to handle Ajax powered Gravity Forms.
CLOSE
