How many NEW patients does your clinic see each month?
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1-10
11-20
21-40
41+
How Full Has Your Schedule Been In The Last 30 Days
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0-25%
25-50%
50-75%
75%+
What do you currently charge per session?
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$50–$75
$76–$100
$101–$150
$151+
On average, how many visits does each patient complete?
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1-3 visits
4-6 visits
7-10 visits
11+ visits
Do you offer any additional services beyond PT sessions?
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No, only PT sessions
Yes, small add-ons
Yes, bigger programs
Yes, plus recurring revenue streams (e.g., memberships)
How much do you currently spend on marketing each month?
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$0–$250
$251–$500
$501–$1,000
$1,000+
How confident are you in converting leads into paying patients?
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Not confident
Somewhat confident
Very confident
Extremely confident
What’s your biggest challenge right now?
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First Name
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Last Name
*
Email
*
Phone
*
Clinic Name or Website
*