Personal Discovery |

Practice Name *

Doctor Name *

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If you have a personal Mission Statement, enter it here:

If we were to interview your current patients, in your opinion, what would they say the practice is best known for? Choose all that apply. *

Explain your thoughts, please.

If you could design your perfect reputation, what would YOU want the practice to be known for? *

Explain your thoughts, please.

What do you think is the one thing that makes YOUR dentistry unique and better than others in the area? *

Why did you go into dentistry? *

What makes you excited about going into the office every day? *

In YOUR opinion, what services are in strong demand from your community? *

Which services do YOU want to grow or introduce into the practice? *

There are only so many psychological positions that a practice can establish in the marketplace. Select those that you think fit the practice now. *

Who is your #1 Competitor? *

#2 Competitor

#3 Competitor

#4 Competitor

#5 Competitor

In your opinion, what do you think the economic profiles are of significant populations of people in your marketing area? *

In your opinion, what education level do you think significant populations of people in your marketing area attained? *

What religion(s) do you think characterizes significant populations of people in your marketing area. *

From your experience, what best describes the attitudes of significant populations of people in your marketing area. *

Politically Conservative

Politically Liberal

Entrepreneurial: "I Impact Life"

Fatalistic: "Life Impacts Me"

"You get what you pay for"

"Services are generic - buy cheap"

Choose one word that describes you best *

Precise

Powerful

Popular

Pleasant

Choose one word that describes you best *

Colorful

Controlling

Cooperative

Consistent

Choose one word that describes you best *

Empathetic

Extrovert

Exact

Evaluating

Choose one word that describes you best *

Winner

Wise

Wacky

Worrier

Choose one that describes you best *

Innovative

In Control

Intuitive

Inspector

Choose one word that describes you best *

Detailed

Decisive

Different

Deferrential

Choose one word that describes you best *

Understanding

Unbounded

Undeterred

Unhurried

Choose one word that describes you best *

Linear

Likeable

Leader

Laughter

Choose one word that describes you best *

Ready

ROI

Research

Realistic

Choose one word that describes you best *

Super

Steady

Statistics

Strength

How are you involved in the community?

Free Dental Day

Food Shelf

Fraternal Organization (Rotary, Lions, Kiwanis, etc.)

Women's Shelter

Specific Causes (Epilepsy, Cancer, Special Olympics, Habitat for Humanity, etc.)

Kids (Sports, Big Brother/Sister, Scouts, School Presentations, etc.)

Educational Scholarship(s)

Career Mentoring

Religious Organization

Are you a DDS or DMD? *

DDS

DMD

List your colleges/universities attended and year of graduation. *

List your residencies and year completed. *

What year did you start practicing dentistry? *

List your professional memberships, positions served and years of service. *

List any certifications, accreditations, masterships, etc.

List any significant continuing education or curriculums.

Tell us a little about your family. Do you come from a family of dentists? Are you married? Have kids? More? *

What do you like to do in your off time? What hobby(s) do you have? When did you get started in them? Why? *

What three important things do YOU want the practice marketing to accomplish? *

Your Personal LinkedIn Profile Page

Do you have any specific questions about the Discovery process, the practice marketing or anything else?

If you want to print the completed Discovery to refer to during the telephone Discovery Conference, you must do so BEFORE you send us the completed form.

Personal Discovery

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If you want to print the completed Discovery to refer to during the telephone Discovery Conference, you must do so BEFORE you send us the completed form.

Copyright 2015, Curtis Marketing Group, Inc. Do not use without written permission from Curtis Marketing Group, Inc.

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