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DELIVERING PERFORMANCE TO YOUR PRACTICE

Free Practice Analysis

Receive a free confidential analysis and see for yourself

Free Sterling "Open to New Ideas" Analysis

Open or Closed?

Name:
Title:
Specialty:	# of Staff:
E-mail:
Address:
City:	State: Zip:
Office Phone:
Home Phone:	(optional)
How did you hear about us?

+	(Plus) means I AGREE, YES or MOSTLY YES
M	(Middle) means UNCERTAIN, MAYBE, NEITHER YES nor NO
-	(Minus) means I DISAGREE, NO or MOSTLY NO

I believe that people can be helped.

+	M	–

There is something missing in my life.

+	M	–

There are other things that I think I should be doing with my practice.

+	M	–

There are some problems in my practice for which I have no solutions.

+	M	–

I intend to find a way to be more effective.

+	M	–

I'm looking for help to improve conditions.

+	M	–

There is something that I need to change or things will worsen.

+	M	–

Most things that claim to help people actually do more harm than good.

+	M	–

There isn't anything someone else could tell me that would help me run my practice better.

+	M	–

10.

I continually look for ways to improve myself and my practice.

+	M	–

Once we have received your answers, a service consultant will contact you within 24-48 hours, Mon.-Fri., with your test results.