Personal Opinion Survey - Dental Practice Consulting

As a way of continually updating and improving our workplace and career development, please complete this form by answering the questions below. Feel free to add any comments on the back of the form that are not covered by a specific question.

Doctor Name(Required)

Practice Name(Required)

1A. What career goals have you achieved thus far?

1B. What is your next immediate career goal?

1C. What are your long-term goals?

2A. What are the stress producers for Staff category?

2B. What are the stress producers for Being the Boss category?

2C. What are the stress producers for Clinical category?

2D. What are the stress producers for Administrative category?

2E. What are the stress producers for Other category?

3. Do you feel you are fairly compensated for your work?

5. Outside of your technical job description, what role do you play in this practice?

6A. Currently, what are some of your main concerns about your team and the practice?

6B. In your opinion, what is the number one issue?

6C. What are some of the ways in which you have tried to resolve these issues?

6D. How will you know when it’s getting better?

7. How do you feel about your financial stability and long-term financial goals?

7A. Do you have an Accountant? (Not just a bookkeeper) How often do you meet with him or her?

7B. Please rate how confident are you of your ability to retire comfortably. 1 being low, 10 being high

7C. What role will the sale of your dental practice play in your retirement plans?

7D. Do you have a will?

7E. Do you have a lawyer?

7F. Do you have a wealth manager or financial planner who plays a part in your retirement planning?

Phone

This field is for validation purposes and should be left unchanged.