Building Your Practice - Subscriber Interest Survey

Hi There!

Thanks so much for your willingness to share with Diabetes in Control what you care about so we can improve our newsletter and better serve the entire subscriber community.

We respect your privacy, and your answers will remain anonymous.

1. WHAT KIND OF PRACTICE do you have or wish to create? (check all that apply)

	Solo Private
	Cash-Only
	Private Medical Group
	HMO
	Hospital
	Not Applicable
	Other Type (please specify)

2. What is your medical specialty?

3. How important are the following to meeting your AIMS FOR YOUR MEDICAL PRACTICE?
(1 star being LEAST important 5 stars being MOST important)

	Importance Level
Attracting new patients
Retaining existing patients
Adding new products, services, or procedures
Starting up a new practice
Leaving it as it is

4. How important would the following be to ACHIEVING YOUR TOP AIMS ABOVE?
(1 star being LEAST important 5 stars being MOST important)

	Importance
INFORMATION on how to meet your aim
A CUSTOMIZEABLE SYSTEM you can reuse to help meet your aim
A "DONE FOR YOU" service where a third party takes care of everything to meet your aim
CONSULTING assistance to guide and assist you in meeting your aim
I prefer to do it ON MY OWN

5. Are there topics related to PRACTICE STARTUP OR EXPANSION which you would like to learn more about, not listed here? (please let us know)

6. Would you like to be occasionally apprised of options to grow or start your practice from carefully selected partners of Diabetes in Control? If so, please leave your name and email.

Name
Email

	General Practice / Family Medicine / Internal Medicine
	Endocrinology
	Podiatry
	Nursing
	Nurse / CDE
	Nutrition
	Pharmacy
	Other (please specify)