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2016
September
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Get More Patients Application
Get More Patients Application
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Hello and Thank you for your interest.
Please answer the following questions the best way you can. There's no catch and no risk. The answers to these questions will be kept confidential and will help us figure out how to help you get more new patients.
I Agree
Contact Information
First Name
:
Last Name
:
Phone
:
Email Address
:
*
Website URL
*
What do you need help with the most?
-- Select --
• Building my marketing funnel
• Optimizing my current marketing
• Just help me make get more new patients
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Which one is your most profitable service? Do you offer more than one service to the same patient?
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What is your monthly marketing budget?
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Who is your ideal patient (age, gender, service they want, income level)?
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What is the value of a new patient to your practice (one time fees, lifetime value- LTV)?
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Do you reach out to past patients? If so, how?
*
Do you have now /or are you willing to create a special promotion or offer to attract new patients? (Include details if possible.)
The answers to these questions will help us determine how we can help you attract more new patients to yoru practice. Please include as much information as needed to help us with our review.
The MILE Group
(310) 994-4078
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