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Dentist Name *
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Contact Phone *
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What is your biggest marketing challenge? *
Please select any and all of the marketing that you are currently implementing in the practie *
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Pick your top 3 primary service/focus areas *
Check all that apply to how your track your marketing spend *
On a scale of 1-5 ( 5 being an expert) how well do you know your market? *
On a scale of 1-5 (5 being an expert) how well can you describe your ideal patient personna? *
Which of the following statements most describe your thinking with regard to what might be holding you back from reaching your marketing goals. Choose any/all that apply. *