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Question 1 of 17
First Name
Question 2 of 17
Last Name
Question 3 of 17
Phone Number
Question 4 of 17
Email Address
Question 5 of 17
I am a:
Physician
Dentist
NP/PA
Other Healthcare professional
Question 6 of 17
What type of business do you run?
Insurance-Based Private Practice
Direct Primary Care Practice
Direct Specialty Care Practice
Concierge Practice
Coaching / Consulting / Speaking
Product-Based business
Other Service-Based Business
Question 7 of 17
What was your revenue last year?
Pre-revenue
$1 – $50K
$51K – $100K
$101K – $250K
$251K – $500K
$501K – $1M
$1M – $2M
$2M – $5M
$5M – $10M
Over $10M
Question 8 of 17
What is your revenue goal for this year?
Question 9 of 17
On a scale of 1–10, how committed are you to accomplishing this revenue goal?
(1 = Not very committed, 10 = Fully committed)
Question 10 of 17
What is the primary challenge you are experiencing in your business right now?
Not enough patients / clients
Can’t find rockstar team members
Cash flow
Overwhelmed by the number of patients / clients
I am unable to take time off from the business
I don’t know how to take my business to the next level
Other (please specify)
Question 11 of 17
How many team members do you currently have?
None
1–5
6–10
11–20
21–50
Over 50
Question 12 of 17
How many weeks did you take off, completely unplugged from your business, in the last 12 months?
1–2 weeks
3–5 weeks
6–10 weeks
Over 10 weeks
Question 13 of 17
How long can your business continue to grow without you?
It can’t grow without me
1 week
2–4 weeks
1–3 months
It can grow indefinitely without me
Question 14 of 17
What was the most impactful chapter for you in the 7-Figure Physician CEO audiobook?
The 7-Figure Physician CEO: Why Your Medical Training Is Holding You Back
The 7-Figure Transformation: From High-Earning Doctor to CEO
The 7-Figure Math: How Revenue Actually Works
The 7-Figure Moves: The Vital Few That Drive Growth
The 7-Figure Team: How Physician CEOs Build Rockstar Teams
7-Figure Momentum: How CEOs Navigate Challenges Without Losing Traction
Your Next Move: The Path to Becoming a 7-Figure Physician CEO
Question 15 of 17
What most consistently prevents you from executing on what you already know you should do in your business?
Lack of time / too many competing demands
Lack of confidence in the right strategy
Fear of making the wrong decision
Inconsistent follow-through
Team execution issues
I’m unclear on the next best move
Question 16 of 17
Would you like to talk to someone from our team about how we can support you on your journey to your revenue goal?
Absolutely!
Not right now
Question 17 of 17
How did you find out about the 7-Figure Physician CEO audiobook?
Facebook
Instagram
Tiktok
Email
Friend
Ad
Conference