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Outcome Assessment Questionnaire

I sincerely want to help you experience the practice and the life of your dreams. In order to help you, you need to answer the following questions, honestly, so that we have a starting point, along with some goals you want to achieve.

Topics:

Practice Volume
Marketing
Health Talks, Seminars and Lectures
My Interactions with Patients
Prospective Patients
My Patients Stay, Pay and Refer!
How I Feel About Myself as a Doctor
My Dream Team
Behavioral Styles
Miscellaneous

Name: Date:

Practice Volume

Statement True False

1. I see as many patients each and every day as I would like to see.
There are so many reasons why doctors do not see the volume of patients they want to see. The reality is... everything affects everything. You may not have enough patients because you don't have enough new patients, or you may not keep the new ones who start care. Or it may be a front desk CA with a bad attitude or it could even be your bad breath!

2. I have enough New Patients.
What causes new patients? What brings new patients in the front door? Energy! All new patients come from energy! The question is where do we put our energy?


Marketing

Statement True False

1. I have a 13-month "perpetual" marketing calendar.
In this calendar, we have listed significant practice events along with the date we will begin planning for each event (i.e., six weeks prior to our Christmas special, we noted the date to make the flyer; five weeks prior, we have marked in the calendar the day we have to go to the printer. Four weeks prior we have marked in the calendar the day to send the press release to the local newspaper, etc.). If the answer is False, you will want to take my " Foundations of Marketing" course.

2. I have a clear understanding that all my new patients come from energy and the efforts of my team.
I am 100% excited to do all of our events. Our events are fun; they are something I would want to be involved in if I were a patient. If the answer is False, you will want to take my " Foundations of Marketing" course.

3. My entire staff and I realize Why we bring do events and bring in new patients.
We fully realize that we save and improve lives when we correct subluxations and show people ways to quit re-creating them. (This is one of the weakest links in most offices!)

If the answer is False not only do you want to take my " Foundations of Marketing" course, you may also want to take your entire team through my course "The Importance of Certainty" and my near free "LAASR Orientation" course. They are life changing!

4. I have a system to monitor where my new patients come from, how many signed up from the event, how many actually made it to the office and how many stayed.

I also have a system to monitor my return on investment and mathematically prove whether or not this event was a success. If the answer is False, you will want to take my " Foundations of Marketing" course.

5. I have a system to make sure my marketing plan is balanced with internal events, external events and re-activations.
If the answer is False, you will want to take my " Foundations of Marketing" course.

6. I have a killer Website that not only gives tremendous information but also drives new patients to my office.
If the answer is False, you may want to check out Bill Esteb's Perfect Patients Website.

7. I use OP press releases every month.
If the answer is False, I would strongly suggest you check out "OP Slides".

8. I know I can drive as many children to my office as I like and I am completely confident treating children of all ages.
If the answer is False, I would strongly suggest you check out Dr. Stu and Terry Warner's programs or any other programs mentoring you in the specialty of children.

9. I use the Brican System to effortlessly shift patients' perception of my care - from strictly pain relief to an important part of mainlining wellness.


Health Talks, Seminars and Lectures

Statement True False

1. I do a health care talk every week. I easily get over 95% of my patients to come within the first month.

Nearly all of my patients who come to the health care talk bring friends and family in the following weeks. Nearly 100% of my non-patients sign up for a full evaluation at the talk. I am 100% confident I have a killer talk that moves, motivates and inspires people to stay, pay and refer!

If the answer to any of the above statements is False, you will want to take my "Fast Track to Health" course.

2. I do outside talks regularly.

I would strongly recommend that you contact Dr. Jeff Slocum at Learning Curves and take his "Multi-Tier Community Education Marketing Program."

3. I tell the story that not only will we correct their subluxations, we will also show them ways to avoid re-creating them in the future.

Therefore, I have a series of talks on the 3 Dimensions of Stress and the importance of a healthy lifestyle. If the answer is False, you may want to check out Dr. Camelli's Stress Talk Series.

4. I am completely comfortable setting up business relationships, setting up talks, and making sure that my newsletter and articles are placed in as many businesses as I like.

If the answer is False, I would strongly recommend that you contact Dr. Jeff Slocum at www.learningcurves.us and take his "Multi-Tier Community Education Marketing Program."


My Interactions with Patients

If you answer False to any of the following statements, you will want to take the entire course, "How to see more people in less time and get better results." (Coming soon)

Statement True False

1. My patients fully understand the value of making and keeping their appointments. If they miss an appointment, they realize it is part of our service to check up on them.

My staff is totally happy to make recalls. If a patient misses an appointment, we have a complete system in place to alleviate the need to make re-activation calls. If by chance people do fall through the cracks, we have a system in place to make these re-activation calls.

2. I am happy with the number of patients I can see in an hour.

3. I spend the same amount of time with my patients as I would if I could put duct tape on my mouth and on my patient's mouth and all I did was adjust them.

Please note: I absolutely do not recommend "not talking" with your patients. I do recommend you only talk when your hands are on their body.

4. I fully understand that it is not the amount of time I spend with my patients; rather it is the quality of their experience.

5. I know the difference between hitting the "bulls-eye" vs. just "pounding down the high spots."

6. I easily stay in the "flow" and hit the "bulls-eye" each and every time with my patients.

7. I do what my patients NEED vs. what I THINK they want.

8. Nearly all of my patients show up for their re-eval and re-report.

9. I am easily able to communicate what is happening during every visit, in a matter of moments.

10. I understand the concept of "sprinter" vs. "marathoner."

I never work more than 3 straight hours. I am always alert, present in the moment and full of energy.

11. I fully understand the "build YOU and they will come" concept and I am in a place that is full of attraction.

12. I am totally congruent with who I am as a doctor and what I have to offer ("The Importance of Certainty").

13. My reserves are high and my stress is low.

14. I am completely aware of my headspace when working with patients and I never allow myself to engage in "stinking thinking" when I am at the office.

15. I never talk TOO long with any of my patients.

16. I spend the same amount of time with my patients whether or not I am busy.

My patients always have my full attention whether my reception room is empty or full.

17. I have plenty of room for "special appointments" (new patients, ROF's, re-exams, re-reports) because I can accomplish all I need to and I never feel rushed.


Prospective Patients

Statement True False

1. I have systems in place so nearly all of my patients are extremely grateful to have their entire families checked for subluxations, usually within the first week of starting care.

I have systems in place and feel totally comfortable asking for referrals. When I ask for referrals they are fruitful more often than not.

If you answered False to any of the above statements, you will want to nail my entire "LAASR Mastery" course and my "No Stress Secrets to Easy and Instant Referrals" course.

2. I am very comfortable calling perspective patients and doing a phone consultation. Nearly 100% of them come in for care.

If you answered False, you may want to check out "How to Conduct a Phenomenal Phone Consultation".

3. If I use a "telemarketing" service, we get great results.

If the answer is False, you may want to check out Following up on Those Leads.


My Patients Stay, Pay and Refer!

If you answer False to any of the following statements, you will want to take my entire "LAASR Mastery" course. Specific lessons are highlighted in blue and hyperlinked to the lesson.

Statement True False

1. I have the perfect "Personalized Presentation" for my patient to view prior to their first visit.

It is 100% congruent with everything I am trying to accomplish and my CAs know exactly how to help the patients realize they want to view it.

2. My CA does a perfect "Pre-Consultation," where my CA and the patient fully bond, connect and build rapport.

They gather information, help the patient feel heard and ask appropriate questions to shift the patient's consciousness so they fully recognize that they, in fact, do want what we have to offer... assuming that they do.

3. I can do my portion of the "Doctor's Consultation" in 3-5 minutes.

At the end of the consultation, not only do I feel I know everything I need to know about the patient, I also realize I have taught the patient a tremendous amount of information, under the radar (meaning I never lectured them). When I ask the patient if there is anything else they want to let me know, they say "no," because they feel totally heard.

4. At the end of the 3-5 minute portion of the "Doctor's Examination," my patients fully understand the "Whole Story."

In other words, they have nerve interference or subluxations that may very well be causing their chief complaint as well as other health problems. If they don't have these problems taken care of, and make appropriate lifestyle changes, they will not be healthy. On the other hand, if they do correct the damage and live their lives in a healthier way, not only might they feel better, and prevent many future problems, they might also reverse the aging process, have better lives and literally be healthier in five years than they are right now.

My patients totally realize they have a health problem, not a back problem, and they are in the right place to get the care they need. More often than not during the exam, my patients ask why no one has ever explained this to them before and then comment that they know other people who need to see me.

5. I have the perfect "Personalized Presentation" for my patient to view prior to their ROF.

It is 100% congruent with everything I am trying to accomplish and my CAs know exactly how to help the patients realize they want to view it.

6. My staff does everything, except what I must do, such as exams and ROFs.

"Pre-Consultation," "Doctor's Examination," "ROF Part 1"

7. Nearly 100% of my new patients return for their ROF.

8. My CA can review with the patient what he/she learned from the presentation, why the patient is here at this time, what we found during our first visit, and most of the objective tests.

This saves me a lot of valuable time to focus on what I need to do ("ROF Part 1"). (ROF Parts 1-3 are all done on visit 2)

9. When I walk in for my portion of the ROF, all I have to do is ask my patients what they understand so far, and they tell me the "Whole Story."

They "sell" me on the fact that they do have subluxations and lifestyle stress, that all of the tests show it, that they have a health problem and not a back problem, and that they are ready to get started. ("ROF Part 1" and "ROF Part 2") (ROF Parts 1-3 are all done on visit 2)

10. The majority of these patients sign up for whatever I think is best for them (i.e., my one-year plan). ("ROF Part 3") (ROF Parts 1-3 are all done on visit 2)

11. A minority of these patients sign up for a smaller plan; nearly no one decides not to work with me. ("ROF Part 3") (ROF Parts 1-3 are all done on visit 2)

12. Everyone who signs up for care fully realizes the difference between "feeling good" and "being healthy."

They realize that getting to optimal health is a process, not an event. If they want to get healthy and stay healthy, the results they achieve are directly proportional to their lifestyle. AND they will, of course, need to get regular chiropractic checkups to make sure their nervous system is functioning at its optimum level. (Entire LAASR Mastery Program)

13. My patients completely understand what to expect during their visits. ("ROF Part 3" and "Daily Interactions")

14. My patients understand what we are going to accomplish during each "period of time" we work together.

They never feel as they I am doing any type of "bait and switch" with them. ("ROF Part 3" and "Daily Interactions")

15. I know exactly what my patients want regarding their care and I help them clarify exactly what they want.

It is easy for me to show them how to get what they want. My treatment plan is clear. My patients easily understand my recommendations and I feel 100% confident when I present my recommendations to them. ("ROF Part 1," "ROF Part 2" and "ROF Part 3") (ROF Parts 1-3 are all done on visit 2)

16. My retention (p.v.a.) is well over 60. (Entire LAASR Mastery Program)

17. Every time I meet with my patients during a regular visit ("Daily Interactions"), I meet them exactly where they are at that moment and help them to take one step closer to optimal health.

I give them a "mind adjustment" as well as a "spine adjustment." I am on time and I never feel rushed. My patients fully understand the "culture" of my office and they know exactly what to expect. They leave feeling inspired after each visit. I am comfortable dealing with my patients both when they feel good as well as when they are in crisis. Nearly 100% of my patients show up for their re-evals and re-reports.

18. My patients and I look forward to their re-eval and re-reports. I know where they are, where they are going and how we are going to get them there. In a matter of 3-5 minutes, we clearly review their progress and expand on the wonderful life-changing results that they have experienced since starting care.

Together, we expand their consciousness toward greater levels of health and I receive referrals from them nearly every time. In the rare case where they are not progressing as expected, I know exactly what to do. I clarify for them what our next steps should be, without blaming them or having them continue care if I am not sure it is the right thing to do at that time.

19. My team and I are comfortable dealing with our patients' difficult questions and statements. We never join the "O.K. Corral" by just saying "O.K." even though we don't agree with them.

We also never find ourselves using aggressive or overly assertive behavior or language that might offend our patients. We have a system to deal with such patients which we practice regularly. We are extremely confident that we all can address difficult situations in a manner that allows our patients to hear what we are saying, and attempt to resolve the situation in the best manner possible. (See "LAASR Difficult Questions.")


How I Feel About Myself as a Doctor

Statement True False

1. I am completely confident and congruent with everything I think, say and do.

If your answer is False you will want to take my entire course, "The Importance of Certainty".

2. I am clear about who I am as a chiropractor, what I have to offer, what I want to deliver, what I am able to deliver, how I monitor what I deliver and how I communicate what I deliver.

I am 100% confident in my vision and purpose. I live my life completely congruent with my mission, vision and purpose and all my patients come to my office for the right reasons.

If your answer is False you will want to take my entire course, "The Importance of Certainty".


My Dream Team

If you answer False to any of the following, you will want to take my entire course, "How to Hire, Train and Cultivate the Dream Team"

Statement True False

1. I know how to hire, train and cultivate the perfect team.

2. I know exactly what I have to do, during the entire hiring process, to hire the perfect person for the job.

3. I have systems in place to train my staff.

We have training manuals and videos for everything we do. We have systems in place to make sure our team knows how to do each task perfectly. They also are checked regularly to make sure they continue to do things at an "A" performance level.

4. I have a Performance Appraisal System that I employ weekly in a matter of minutes.

Each week, every person has at least one thing they are working on in an effort to upgrade their performance.

5. Our regular staff meetings are inspiring "brag sessions" that never turn into "rag sessions."

6. We have time set aside to deal with upgrading our performances, work on cross training, deal with difficult questions and patients, and brainstorm new marketing efforts.

7. My team always knows exactly what we need to do to get to the next level and they carry me on their shoulders vs. me pushing them to do their job.

8. Our bonus system inspires the entire team and they regularly get big bonuses. I am ecstatic to give these bonuses for jobs well done.

9. Each position's tasks are completely clear, delineated and defined.

10. I regularly ask for input from my staff regarding the changes that may be needed to move the practice up to the next level.

11. I have a "Staff Outcome Assessment Questionnaire" so my team always feels comfortable providing their input.

12. I am completely satisfied and happy with each member of my staff's attitude and performance.

13. Each member of my staff is very happy with one other, with me and with their job.

14. Members of my staff regularly tell me where I need to improve and what needs to change in the office, so all are able to attain our goals.

15. The members of my staff are totally aware of our present goals and they are fully motivated and excited to get to the next level.

16. I have enough staff members. They never feel overwhelmed, they never fall behind, they never have to work overtime, and they never have to bring work home.

17. Each staff member is fully trained and knowledgeable; all are cross trained so they know each other's job functions.

18. I have scripts for every possible interaction my staff might have with patients, insurance companies, etc. and they excel at "delivering the goods."

19. We have written goals which my staff and I read aloud every day, during our 4 "mini meetings."

20. I have an effective method of clarifying which type of person or "behavioral style" (personality style) I need in each position and if my current staff is the right person for that position.


Behavioral Styles

Statement True False

1. I understand that there are different behavioral styles (personality styles) and each style comes with inherent strengths and weaknesses.

2. I know how to profile people and figure out what their style is.

3. Once I know their style I know how to communicate with them, support them and speak their language.

If you answered False to any of the above statements, I suggest that you check out the DISC Behavioral Analysis information in my store.


Miscellaneous

Statement True False

1. We have plenty of space to see all of our patients; we are always on time and we never feel rushed.

If you answered False, then you will want to take my course, "How to Schedule and Stay on Time." (Coming soon)

2. I feel GREAT physically, mentally, emotionally and spiritually.

If you answered False, then you will want to review my course, "How to Build Reserves and Decrease Stress." (Coming soon)

3. My head is completely in the right place. My philosophy, science and politics are sound. Everything I think, say and do is completely congruent.

If you answered False to any of the above statements, you will want to make sure you: