<% strUserAgent = Request.ServerVariables("HTTP_USER_AGENT") 'Define this in the individual page. sectionTitle = "Practice Analysis" %> Sterling - Practice Analysis

DELIVERING PERFORMANCE TO YOUR PRACTICE

Free Practice Analysis

Receive a free confidential analysis and see for yourself

Free Sterling Quality Control Analysis

How are we doing?

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 have a regular check on the quality of our service.

+	M	–

I use client complaints, as a means to improve the practice.

+	M	–

My staff know they're good, I don't need to praise them.

+	M	–

My practice has no call for "correction programs."

+	M	–

We keep and use the staff suggestion box (or a similar system).

+	M	–

Our staff training system is an on-going affair.

+	M	–

I have several people in training at this time to take over positions senior to those they now hold.

+	M	–

We get along very nicely without any staff training.

+	M	–

We apply the principle of quality control to our entire organization.

+	M	–

10.

I have a statistic which measures the effectiveness of our Quality Control.

+	M	–

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