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Search for:
home
about us
accolades
contact us
designs matter blog
marketing
advertising
website design
pricing
social media
eye care marketing
new practice form
Daniel Feldman
2017-11-09T17:29:17-07:00
New Practice Questionnaire
All information shared is strictly confidential!
Where did you attend Optometry School?
What year did you graduate?
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Share with us the reasons that inspired you to become an optometrist.
In which town or city do you wish to open your practice?
Please provide the zip codes for any area you may be considering.
Do you have or will there be any partners (equal or not) in your practice?
What is one of your favorite movies?
“Are there any other people involved in day to day or ongoing business decisions in your practice? A spouse, significant other, parent, sibling, friend, optician, office manager, etc?”
Do you have a business plan yet? If so, who wrote it?
Do you have funding in place already?
Yes
No
What is one of your favorite songs? Is there a lyric that inspires you?
Share with us 3 things you want to accomplish by opening your own practice?
1) 2) 3
What are you currently doing now to earn an income?
If you are currently working, as an OD, for another independent or working for a chain, what do they do right? what do they do wrong?
What are your two favorite colors?
Do you prefer shapes that are round or angular?
Round
Angular
What are your current thoughts about 3rd party insurance? (Check all that apply)
I absolutely need it or else how could I even consider opening a practice?
I feel I need to accept it because my patients will demand it
I'll accept it for now with the absolute goal to phase it out within a specific time frame
I'll accept it for now with the goal to phase it out one day
I never thought about not taking it because I wasn't aware there were alternatives
If you held a gun to my head, I still wouldn't consider accepting it in my practice
Which describes you best in terms of coming to or making decisions?
I decide from my gut and do it quickly.
I take deliberate time to think things through, even if it may take days, and then come to a decision
I take deliberate time to think things through, even if it may take days, and then come to a decision
A combination of 1 & 2
I'm afraid of making the wrong decision, so I ask family and friends to help me make a decision
I'm pretty indecisive
I'm hiring The Visionaries Group to make the decisions
Are there any optometric services or specialties that you want to provide your patients that may or may not make your practice unique?
Regardless of cost, please list, in order of importance, what do you feel would be the most important purchases for your new practice? Diagnostic and refractive equipment, frame inventory, furniture and cabinetry, lab equipment (edger, die tank, frame warmer, etc), contact lens inventory, store signage, website design, other?
What are 3 things you are extraordinarily good at?
What are 3 things are you horrible at?
How would your friends describe you?
How would your peers describe you?
What's the last book you read or what are you currently reading?
Wine or beer?
Wine
Beer
Wine with Orange Soda
Cats or dogs?
Cats
Dogs
What are 3 things you love to do on your leisure time?
1) 2) 3)
Do you like a challenge?
Yes
No
Do I?
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