Practice Evaluation Form Practice Evaluation Questionnaire **CAUTION** This Practice Evaluation Includes Over 70 Questions And The Information Is Not Saved Unless All Fields Are Filled Out During One Sitting, So Do Not Navigate Away From This Page Or Hit The Back Button Until All Questions Are Completed. If You Would Like A List Of These Questions To Better Prepare, Please Download The Practice Evaluation PDF. Practice Name*Practice Owners Name*Name Of Person Completing This Evaluation*Practice Address*Practice Phone Number*Practice Owners Mobile NumberPractice Fax Number*Practice Owners Email AddressHow Did You Hear About Us*Since Our Company Works On A Profit Sharing Arrangement, Are You Willing To Share Your Accountant Prepared Tax Documents With Our Firm So We Can Track Your Practice Growth* Yes No What Type Of Practice Do You Have*Small Animal ExclusivelySmall Animal PredominatelyEquineLarge AnimalMixed AnimalExoticAlternative MedicineIs Your Practice In A Shopping Strip Or Free Standing*Does Your Practice Offer After Hours Emergency Services* Yes No What Type Of After Hour Emergency Service Does Your Practice Provide*Full TimeOn CallHow Many Full Time Equivalent Veterinarians Are In Your Practice*How Many Support Staff Does Your Practice Employ*Does Your Practice Have A Practice Manager Or Hospital Administrator* Yes No Give Us An Overview Of Your Practice* Provide An Overall Description Of Your Practice Environment (Size Of The Market, Your Share Of The Market, Potential For Growth, Etc.)* What Does Your Clients Believe About Your Quality* What Does Your Clients Believe About Your Service* What Does Your Clients Believe About Your Convenience* Name Three Ways Your Practice Offers Great Customer Service* Approximately, How Many New Clients Does Your Practice Get On A Monthly Basis*Is Your Practice Computerized* Yes No Does Your Practice Collect Email Addresses* Yes No Does Your Practice Collect Mobile Phone Numbers* Yes No Approximately, How Many Clients Are In Your Practice Database*Approximately, How Many Clients Are Active Within The Last Two Years*What Is The Biggest Struggle Your Practice Is Facing* Has Your Practice Ever Hired A Consultant Before* Yes No Describe Your Experience With Your Last Consultant (What Did You Like, What Did You Dislike, Did You Achieve Your Desired Results, Etc.)* Approximately, What Was Last Year’s Gross Revenues*Approximately, What Was Last Year’s Net Profit*Approximately, What Is The Overall Average Client Transaction*Does Your Practice Have Accounts Receivable* Yes No Approximately How Much Is Your Accounts Receivable*How Do Your Prices Compare With Other Practices In Your Service Area* How Often Does Your Practice Increase Prices*Does Your Practice Have An Overall Budget* Yes No Please Describe Your Practice Budget* Does Your Practice Offer Retail And Non-Prescription Food Sales* Yes No What Percentage Of Gross Revenue Is Retail And Non-Prescription Food Sales*Does Your Practice Currently Offer Some Services As Packages Or Bundles (Vaccinations, Surgery, Dental, Etc.)* Yes No Please Explain How Your Practice Packages Or Bundles Its Products Or Services* How Does Your Practice Currently Measure Compliance* Who Is In Charge Of Marketing*Does Your Practice Have An Existing Marketing Plan* Yes No Please Describe Your Practice Marketing Plan* Does Your Practice Have An Annual Marketing Budget* Yes No Please Describe Your Practice Annual Marketing Budget* Are You Getting A Good Return On Your Advertising Investment* Yes No Not Sure What Is Your Best Source Of New Clients* How Often Does Your Practice Send Out Special Mailings, Alerts Or One-Time Offers*What Has Been The Three Most Effective Offers Your Practice Has Used In The Past* Does Your Practice Have A Telephone Script For Your Receptionists* Yes No Out Of Ten Potential New Clients That Call Your Practice, How Many Will Become Clients*Why Do You Think The Rest Of These Potential New Clients Do Not Become Clients* Does Your Practice Have A System For Collecting Client Reviews Or Testimonials* Yes No Please Describe How Your Practice Collects Reviews Or Testimonials* How Many Client Testimonials Does Your Practice Currently Have*Does Your Practice Have An Active Referral Program* Yes No Please Describe Your Practice Referral Program(s)* Does Your Practice Have An Active Reactivation Program* Yes No Please Describe Your Practice Reactivation Program(s)* Does Your Practice Have A System For Welcoming New Clients* Yes No Please Describe How Your Practice Welcomes New Clients* Does Your Practice Have A Special Way To Recognize Your Top Clients* Yes No Please Describe How Your Practice Recognizes Your Top Clients* Does Your Practice Have Systems In Place For Client Visits* Yes No Please Describe What Systems Your Practice Has For Client Visits* Does Your Practice Send Out Vaccination Reminders* Yes No Does Your Practice Send Out Examination Reminders* Yes No Does Your Practice Send Out Dental Reminders* Yes No List Any Other Types Of Reminders Your Practice Sends Out Does Your Practice Have A Website* Yes No Practice Website Address*Does Your Practice Website List The Practice Phone Number Prominently In The Header* Yes No Is Your Practice Website Updated Regularly* Yes No Does Your Practice Website Collect Visitors Information Through A Newsletter Or Special Sign Up Offer* Yes No Does Your Practice Website Have An Automatic Email Message (Autoresponder) That Is Sent Out When Someone Signs Up* Yes No Does Your Practice Website Feature Client Testimonials* Yes No Does Your Practice Have A Mobile Website* Yes No Does Your Practice Send Out A Newsletter* Yes No How Often Is Your Practice Newsletter Distributed*How Many Newsletters Does Your Practice Send Out With Each Mailing*Does Your Practice Use Social Media (Facebook Fan Page, Twitter, LinkedIn, Etc.)* Yes No Has Your Practice Claimed Its Google Places Listing* Yes No Has Your Practice Claimed Its Yahoo Local Listing* Yes No Has Your Practice Claimed Its Bing Listing* Yes No Does Your Practice Use SMS/Text Message Marketing* Yes No Does Your Practice Use Bluetooth Marketing* Yes No Does Your Practice Use Any Unique Tracking Phone Numbers In Its Marketing Pieces* Yes No List Any Other Advertising Methods That Your Practice Uses (Yellow Pages, Val-Pak, Community Events, Etc.) 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