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Free Finance Analysis

Financial Stability?

Name: 
Title: 
Specialty:  # of Staff:
E-mail: 
Address: 
City:     State:  Zip:
Office Phone: 
Home Phone:  (optional)
How did you hear about us?

+  (Plus) means I AGREE, YES or MOSTLY YES
(Middle) means UNCERTAIN, MAYBE, NEITHER YES nor NO
-  (Minus) means I DISAGREE, NO or MOSTLY NO

1.  I give my collection staff a rating of 8 out of 10 or better.
+ M
2. Patients often complain about errors in their accounts.
+ M
3.  I am kept waiting for up-to-date figures on Accounts Receivable.
+ M
4. My practice has an excellent credit rating.
+ M
5. Payroll is always done on time.
+ M
6. Tax payments are usually on the late side.
+ M
7. I can lay my hands on all financial statements at short notice.
+ M
8. I would like to receive the financial reports more quickly.
+ M
9. The fixed assets inventory is complete and up-to-date.
+ M
10. I know where the money's going before it gets spent.
+ M

Once we have received your answers, a service consultant will contact you within 24-48 hours, Mon.-Fri., with your test results.

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