Bard Advertising
Medical Assessment Form
Find out whether you’re missing out on opportunities to grow, protect or diversify your practice by completing your Medical Practice Assessment.
Upon completion, you will receive a complimentary White Paper.

* These answers are required.

Which of the following best describes your situation? *
I would like to grow my practice with a more specific patient
I need to counter the effects of competition, to dominate my market
I am in a group practice and marketing decisions are difficult to make
I plan to retire and sell my practice and want to build its value
My practice is healthy, always looking for new ways to work smarter

Marketing is no longer optional? *
I agree
I’m not sure
I disagree

What is your gross revenue growth goal over the next 12 months? *
Over 100%
50% to 100%
25% to 50%
25% or less

Does your practice have a written marketing plan? *
Yes
No

How would you rate your current marketing program? *
Highly effective: I have a plan and I’m achieving my goals
Somewhat effective: inconsistent effort and/or results
Not effective: no plan and/or no measurable results
N/A: I do not have a marketing program

How often do you ask new patients how they heard about you? *
Always: I have a routine in place
Sometimes: inconsistent and/or irregular monitoring
Never: We’re not in the habit/don’t have time

How do most of your new patients find you? *
Advertising and public relations
Patient referrals
Professional referrals
Are you a: *
Solo specialty care practioner
Member of a group specialty care practice clinic
Specialty care practice hospital

What has your revenue trend been over the past 12 months? *
25%+
10%+
Flat
10%-
25%-

How would you rate your present ability to market your practice? *
Excellent
Good, but not great
Poor and inconsistent, little results
N/A: I don’t market my practice

What is your estimated current annual marketing budget? *
Under $75,000
$75,000–$100,000
$100,000–$125,000
Above $125,000

What is your desired timeline for implementing new marketing ideas? *
Yesterday
30–60 days
No hurry—more than 60 days

Are you the specialty care practice owner? *
Yes
No

How did you hear about BARD Advertising?

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Thank you for your time. You will receive your complimentary White Paper shortly.


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