Conference Survey - Kaizenovate | Chiropractic Growth

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Thanks so much for being a fantastic audience member for my presentation. I sincerely hope you enjoyed the presentation as much as I enjoyed spending time with you…

I would love to hear what you thought of the presentation. I’ve created a short survey to gather your input and as a reward for your time, everyone who completes all the questions will be entered in a drawing to win some of my favorite books on enhancing the patient experience!

In short, if you play – you have the chance to win!

Conference Survey

On a scale of 0-10, how likely is it that you would recommend Dr. Jay’s course to a friend or colleague?
What did you like most about Dr. Jay's presentation?
What could Dr. Jay have done to provide a better experience?
What is one thing you plan to do with regard to your practice as a direct result of the presentation?
If there was one question you could ask Dr. Jay, what would it be?
Would you be interested in attending future live presentations with Dr. Jay?
- Yes
- No
Would you be interested in learning more about on demand content from Dr. Jay?
- Yes
- No
From today’s presentation, what book would you choose if you were to win?
- Think Again By Adam Grant
- The Five Dysfunctions of a Team by Patrick Lencioni
- The Culture BluePrint by Robert Richman
- Never Lose a Customer Again by Joey Coleman
- Good to Great by Jim Collins
Which EHR are you currently using in your practice?
- Genesis
- Eclipse
- ChiroSpring
- ChiroTouch
- Jane
- Platinum
- ChiroFusion
- PayDC
- DrChrono
- E-Z Biz
- Silk One
- MedicFusion
- Other
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Apply today and let us shape your coaching experience with Dr. Jay Greenstein.

Name*
First Last
Phone*
Email*
Organization*
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How long have you been in practice?*
Number of patients per month*
Which type of coaching are you interested in?*
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?

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

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Dr. Jay’s Greenstein Speaking Media Kit contains his full bio, speaking introduction bio, curriculum vital, and all of his speaking topics.

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