APX Platform - Free Practice Assessment Step 1 of 3 33% Your Name(Required) First Last Email(Required) Mobile Phone(Required)Which best describes your primary role at your practice?(Required)Please select from dropdownPlastic Surgeon + Practice Owner Plastic Surgeon + Practice OwnerPractice Owner or CEO (non-MD)Cosmetic Dermatologist + OwnerNP + OwnerPlastic Surgeon (non-owner)NP, PA or RNAestheticianPractice Manager / AdministratorMedical AssistantFront DeskC-Suite ProfessionalMedical Director / PhysicianMarketingOtherPractice Type(Required)Please select from dropdownMedical SpaPlastic SurgeryPlastic Surgery & Medical SpaCosmetic DermatologyOBGYNDentistInternal MedicineFunctional MedicineIV LoungeWellnessOtherCompany Name(Required) Your State(Required)Please select from dropdownAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingNon USAWhich state is your practice located in?Practice Zip Code(Required) Number of Providers(Required)Please select from dropdown123-56-10More than 10Total Number of Employees(Required)Please select from dropdown12-56-1011-1516-2021-50More than 50(including yourself, all providers, staff, etc.)Number of Treatment Rooms(Required)Please select from dropdown123456-10More than 10Do you have a Practice Manager (aka Practice Admin)?(Required)Please select from dropdownYesNoNo, but we used toNo, but we plan on hiring one soon Ok, lets dive a little deeper now. Please answer the remaining handful of questions to the best of your ability. These questions will provide insight into the training, financial and operational efficiency and performance of the practice, and allow us to identify areas of opportunity and improvement.Please select the top 3 challenges within your practice(Required) Sales Training/Patient Conversions/Retention Staffing/Compensation/Management Overcoming Price Financials/Understanding Data/How to be more Profitable Marketing/Patient Growth Retention/Increasing Lifetime Value Start-Up Operational Efficiency Does your practice have call tracking on your phones?(Required)Please select from dropdownYesNoNo, but we used toI'm not sureHow often do you (or someone else) listen to the calls, analyze the data, and coach your team?(Required)Please select from dropdownAll the timeAt least 1x per weekAt least 1x per monthEvery now and thenRarelyNeverHow many leads does your website produce per month?(Required)Please select from dropdown0Less than 10Between 11 - 20Between 21 - 50Between 50 - 75Between 76 - 100More than 100I'm not sureWhat is the average response time for your team to incoming web leads?(Required)Please select from dropdownImmediatelyWithin a few hoursWithin 24 hoursWithin a few daysIt variesI'm not sureWhat % of your ONLINE inquiries end up booking a consultation?(Required)Please select from dropdownLess than 10%11% - 25%26% - 50%51% - 75%Over 75%I'm not sureWhat % of your PHONE inquiries end up booking a consultation?(Required)Please select from dropdownLess than 10%11% - 25%26% - 50%51% - 75%Over 75%I'm not sureWhat is your current consultation-to-close ratio? (In other words, what is the % of patients who come in for a consultation and end up booking the procedure with you)(Required)Please select from dropdownLess than 10%11% - 25%26% - 50%51% - 75%Over 75%I'm not sure What is the current Profit Margin % for your practice?(Required)Please select from dropdownLess than 25%26% - 50%51% - 75%Over 75%I'm not sureWhat % of your total revenue is on payroll?(Required)Please select from dropdownLess than 10%11% - 29%30% - 50%Over 51%I'm not sureWhat % is your provider labor?(Required)Please select from dropdownLess than 10%11% - 29%30% - 50%Over 51%I'm not sureHow much Revenue per Hour does your non-surgical treatment room generate on average?(Required) How much total Gross Revenue (total revenue before factoring in any costs) did your practice earn last year?(Required) What % of your total Gross Revenue is spent on marketing/advertising?(Required)Please select from dropdownLess than 25%26% - 50%51% - 75%Over 75%I'm not sureWhat % of your total Gross Revenue comes from Retail Product sales?(Required)Please select from dropdownLess than 25%26% - 50%51% - 75%Over 75%I'm not sureDo you follow up with patients who do not book a procedure after consultation?(Required)Please select from dropdownYes, every timeYes, most of the timeSometimesRarelyNeverI'm not sureDo you have monthly meetings to discuss practice goals and expectations?(Required)Please select from dropdownYes, every monthYes, but every few monthsSometimesRarelyNeverI'm not sureAre there any additional comments or feedback you would like to provide us to better understand your practice? 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