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Pre-Engagement-Profile
Digital Empathy
2017-12-21T07:38:06+00:00
Pre-Engagement Practice Profile
To Be Completed by Practice Owners
Contact Information
Practice name
*
Address
Street Address
City
State / Province / Region
ZIP / Postal Code
Telephone number
Fax number
Email
*
Operations
How long has the practice been in existence?
How long has the practice been under current ownership?
What is the percent of practice revenues from each of the following species:
Canine
Avian
Pocket Pet
Feline
Reptile
Large Animal
Revenue
What is the annual gross revenue?
Is the practice growing or declining in revenue?
Growing
Declining
What do you believe is the key factor of the practice growing or declining?
What days of the week and hours is the practice open? When do doctors see appointments?
Day
Open
Close
Appointments
Facility
Is this a freestanding or leasehold facility?
What is the square footage of the facility?
How many exam rooms does the practice have?
How old is the building?
Healthcare Team
Practice Owner(s)
Name
Percent Ownership
Approximate Hours Worked Per Week
Years at Facility
Associate Veterinarian(s)
Name
Approximate Hours Worked Per week
Years at Facility
Team Members
Receptionists
Number of Full-Time
Number of Part-Time
Technicians
Number of Full-Time
Number of Part-Time
Kennel Assistants
Number of Full-Time
Number of Part-Time
Groomers
Number of Full-Time
Number of Part-Time
Administrative
Number of Full-Time
Number of Part-Time
Other
Number of Full-Time
Number of Part-Time
Potential
What adjectives best describe your practice?
Old School
Average
Progressive
Outdated
Chaotic
Affordable
Expensive
State of the Art
Dysfunctional Family
Very Professional
How many practices are within three miles of your practice?
General Practices
ER Practice
Specialty Practice
What areas would you like the practice to improve the most?
Creating a vision
Conduct effective weekly meetings
Customer service training
Improve practice culture
Decrease expenses
Recruiting
Become a systems dependent practice, and not an owner-dependent practice
Medical training
Increase revenue & profits
Inventory management
Improve organization through standards
Due diligence with buy/sell transaction
What are the biggest challenges you face while running the practice?
What concerns you the most about the practice’s income statement?
What do you feel are the top three priority needs for the practice?
How much are you willing to spend on a practice consultant?
Under $10,000
Up to $20,000
Up to $30,000
Client Service Assessment
Vision and Values
Vision and Values Does your practice have a vision and mission statement? If yes, what are they?
Vision
Mission Statement
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