You can always press Enter⏎ to continue
TJ Ahn Consulting Application
Fast & Easy. Are you ready?
13
Questions
START
1
Let's get started... What is your name?
*
This field is required.
First Name
Last Name
Previous
Next
Submit
Press
Enter
2
What is your Email?
*
This field is required.
example@example.com
Previous
Next
Submit
Press
Enter
3
Mobile Phone Number?
*
This field is required.
Area Code
Phone Number
Previous
Next
Submit
Press
Enter
4
What City, Country do you practice in?
*
This field is required.
Previous
Next
Submit
Press
Enter
5
What is your practice website url?
*
This field is required.
If you don't have one, please type "no website"
Previous
Next
Submit
Press
Enter
6
What is your current estimated monthly revenue?
*
This field is required.
Previous
Next
Submit
Press
Enter
7
What is your target monthly revenue?
*
This field is required.
Previous
Next
Submit
Press
Enter
8
Are you currently working with any marketing agency to generate patient leads?
*
This field is required.
Yes
No
Previous
Next
Submit
Press
Enter
9
What do you feel is your biggest obstacle to hitting your monthly revenue goal?
*
This field is required.
Previous
Next
Submit
Press
Enter
10
What insurance plans are you working with if any?
*
This field is required.
Previous
Next
Submit
Press
Enter
11
How willing are you to invest in the growth of your practice right now?
*
This field is required.
1
2
3
4
5
Conservative
Agressive
Previous
Next
Submit
Press
Enter
12
Which consulting program(s) are you interested in?
You can choose one or more.
The MIFAS Accelerator - Implement MIS procedure and Office-Based Surgery
The Profit Alchemy - Increase Cash Pay and Patient Acceptance
The Podiatry Profits Mastermind
Previous
Next
Submit
Press
Enter
13
If we are right fit to work together, how soon would you like to get started?
*
This field is required.
Previous
Next
Submit
Press
Enter
Should be Empty:
Question Label
1
of
13
See All
Go Back
Submit