This area is for the Head D.C. only to fill out.
If you signed your team up for 1:1 Coaching, after completing this, there will be a link to set up a DC 1:1 call with me.
Click the button below to start.
Question 1 of 15
Your Chiropractic Story/Why you became a Chiropractor? And how long have you been one?
Question 2 of 15
What is your schedule at the office (if differs from normal office hours) and what would you love it to be?
Question 3 of 15
Your Birthday:
Question 4 of 15
Favorite color:
Question 5 of 15
Favorite type of sweet food:
Question 6 of 15
Any food allergies or special as in Vegan, Gluten free etc?
Question 7 of 15
What is your 2025 Collection Target/Goal? Do the other Team members know this goal?
Question 8 of 15
Do you have monthly goals? Whether Collections, PV's, NP's etc, does the goal change each month or stay the same and do the other team members know these goals?
Question 9 of 15
Doesn't need to be exact but to the best of your knowledge, what has been the highest DAY of collections so far at your office? And the highest month of collections?
Question 10 of 15
Do the C.A.'s have a Bonus structure in place and if so, what is it:
Question 11 of 15
What is the biggest goal/target you have for yourself OUTside of the office? Think personal goals:
Question 12 of 15
What is each Team Member already AWESOME at?
Question 13 of 15
What can each Team Member improve at?
Question 14 of 15
Share a time you remember having FUN at the office esp with another team member OR a moment that stood out with a patient, something that brings a smile to your face?
Question 15 of 15
Anything else you would like to share or ask me?