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DELIVERING PERFORMANCE TO YOUR PRACTICE

Free Practice Analysis

Receive a free confidential analysis and see for yourself

Free Sterling Owner's Hat Analysis

How well do you wear the owner's hat?

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 am achieving my financial goals.

+	M	–

There has been a downtrend in our profitability over the past 12 months.

+	M	–

We have cash flow problems that need to be resolved.

+	M	–

My practice has been involved in litigation as a defendant within the past two years.

+	M	–

The amount of debt that my practice is carrying is a problem or a potential problem.

+	M	–

The long term profitability of my practice is on an up trend.

+	M	–

My gross has increased over the last two years.

+	M	–

There is an external factor which is a threat to the viability of my practice.

+	M	–

My practice is dependent on additional external funding for continued survival.

+	M	–

10.

My practice's cash position is better than it was a year ago.

+	M	–

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