| 1. | I am achieving my financial goals for my practice. | | | |
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| 2. | I have very good success at finding and hiring capable employees. | | | |
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| 3. | Little competition exists in our market. | | | |
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| 4. | I give my accounts receivable/collection staff a rating of 8 out of 10 or better. | | | |
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| 5. | In terms of what we deliver to our patients, we are technically the best. | | | |
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| 6. | I have a regular check on the quality of my product/service. | | | |
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| 7. | We use surveys when going after new patients. | | | |
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| 8. | I often feel guilty about not spending more time with my family. | | | |
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| 9. | Owners and managers should give unexpected bonuses to keep employees on their toes instead of having a routine system of bonuses. | | | |
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| 10. | I believe that people can be helped. | | | |
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| 11. | There has been a downtrend in our profitability over the past 12 months. | | | |
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| 12. | Employees often don't understand how their jobs affect others in the practice. | | | |
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| 13. | The on-going needs of our patients are well-defined and used for increasing the amount of care provided to them. | | | |
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| 14. | Patients often complain about errors in their accounts. | | | |
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| 15. | What we deliver to our patients is normally on time and better than they expected. | | | |
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| 16. | I use patient complaints as a means to improve the practice. | | | |
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| 17. | We keep a record of new patients and know how effective our promotion is. | | | |
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| 18. | There are influences outside my practice that demand my attention right now. | | | |
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| 19. | It is only natural for employees and management to be mistrustful of each other. | | | |
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| 20. | There is something missing in my life. | | | |
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| 21. | We have cash flow problems that need to be resolved. | | | |
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| 22. | Newly hired employees in my practice are quickly trained and soon functioning well at their jobs. | | | |
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| 23. | Our recall/reminder system is effective and produces lots of repeat business. | | | |
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| 24. | I am kept waiting for up-to-date figures on Accounts Receivable. | | | |
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| 25. | If I had better equipment, I could produce a better product/service for my patients. | | | |
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| 26. | My staff know they're good and I don't need to praise them. | | | |
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| 27. | We have effective and proven programs for generating new patients. | | | |
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| 28. | There is quite a bit of stress in my life. | | | |
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| 29. | Trying to define and measure the results produced by each employee would be a waste of time. | | | |
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| 30. | There are other things that I think I should be doing with my life. | | | |
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| 31. | My practice has been involved in disciplinary matters with my licensing board within the past two years. | | | |
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| 32. | I often find myself solving problems that others (managers or employees) should handle. | | | |
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| 33. | We do not have a regular communication (newsletter, etc.) going out to all our patients. | | | |
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| 34. | My practice has an excellent credit rating. | | | |
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| 35. | My patients frequently complain about how long they wait to get an appointment. | | | |
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| 36. | I do not need correction systems for my staff or my service. | | | |
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| 37. | Our practice is getting positive exposure from newspaper articles, free publicity, etc. | | | |
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| 38. | I'm concerned about my health at times. | | | |
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| 39. | Teamwork inhibits creativity. | | | |
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| 40. | There are some problems in my practice for which I have no solutions. | | | |
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| 41. | The amount of debt that my practice is carrying is a problem or a potential problem. | | | |
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| 42. | I could get more work done each day if I had fewer interruptions. | | | |
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| 43. | We do special promotions which are available to our existing patients. | | | |
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| 44. | Payroll is always done on time. | | | |
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| 45. | I haven't yet trained anyone to manage and care for the production/service areas as well as I do it myself. | | | |
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| 46. | We keep and use a staff suggestion box (or a similar system). | | | |
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| 47. | I have at least one employee whose job it is to attract new patients. | | | |
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| 48. | There are too many accidents/mistakes in my life. | | | |
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| 49. | A good policy in business would be to cut every corner possible in order to increase profit margins. | | | |
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| 50. | I intend to find a way to be more effective. | | | |
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| 51. | The long term profitability of my practice is in an uptrend. | | | |
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| 52. | Communication within my practice flows smoothly and quickly to the right person with no misunderstandings. | | | |
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| 53. | Our average amount of service per patient is increasing. | | | |
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| 54. | Tax payments are usually on the late side. | | | |
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| 55. | Quality of service tends to collapse when I am away from the area for any extended period of time. | | | |
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| 56. | Our staff training system is an on-going affair. | | | |
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| 57. | We don't expect much return from our promotional campaigns. | | | |
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| 58. | I have one or more physical problems. | | | |
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| 59. | Most people don't want to work, and do so only because of economic necessity. | | | |
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| 60. | I'm looking for help to improve conditions. | | | |
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| 61. | My gross income has expanded for the last two years. | | | |
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| 62. | I have a reward system for employees who do more than their share. | | | |
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| 63. | We are losing business because of inadequate follow-up of existing patients. | | | |
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| 64. | I can lay my hands on all financial statements at short notice. | | | |
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| 65. | My staff takes pride in pleasing the patients. | | | |
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| 66. | I have sufficient staff in my practice who are cross-trained for other positions. | | | |
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| 67. | Attracting new patients is not an essential part of our income forecasting. | | | |
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| 68. | Others have influenced me in making decisions that I later regretted. | | | |
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| 69. | Expansion isn't always desirable. | | | |
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| 70. | There is something that I need to change or things will worsen. | | | |
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| 71. | There is an external factor which is a threat to the viability of my practice. | | | |
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| 72. | I sometimes wonder how productive some of my employees really are. | | | |
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| 73. | We have a complete database of past and present patients. | | | |
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| 74. | I would like to receive the financial reports more quickly. | | | |
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| 75. | I sometimes cringe and want to hide when my employees are speaking to patients. | | | |
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| 76. | We get along very nicely without any staff training. | | | |
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| 77. | Public Relations is an essential part of our marketing. | | | |
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| 78. | I sometimes experience periods of worry and depression. | | | |
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| 79. | Most problems between people can be resolved with communication. | | | |
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| 80. | Most things that claim to help people actually do more harm than good. | | | |
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| 81. | My practice is dependent on additional external funding (debt or equity) for continued survival. | | | |
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| 82. | I keep graphs of all the key statistics of my practice. | | | |
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| 83. | We have a very loyal and expanding patient base. | | | |
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| 84. | The fixed assets and supplies inventory is complete and up-to-date. | | | |
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| 85. | There is excellent coordination of finance, supplies, personnel logistics, etc. in my practice. | | | |
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| 86. | We apply the principle of quality control to our entire practice. | | | |
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| 87. | I keep separate records of new patients and repeat patients. | | | |
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| 88. | The rewards of operating my practice far outweigh the difficulties. | | | |
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| 89. | A good leader would not hesitate to sacrifice an individual for the good of the group. | | | |
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| 90. | There isn't anything someone else could tell me that would help me run my practice better. | | | |
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| 91. | My practice's cash position is better than it was a year ago. | | | |
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| 92. | Overall morale in my practice is very high. | | | |
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| 93. | A large number of patients have not been presented with full treatment plans. | | | |
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| 94. | I know where the money's going before it gets spent. | | | |
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| 95. | If we did a survey of our patients, at least 90% of them would say that they were satisfied with what we delivered. | | | |
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| 96. | I have a statistic which measures the effectiveness of our Quality Control. | | | |
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| 97. | We get new business from referrals from existing patients. | | | |
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| 98. | Someone or something else is responsible for the condition my practice is in. | | | |
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| 99. | A good executive would rather earn money than borrow it. | | | |
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| 100. | I continually look for ways to improve myself and my practice. | | | |
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