Dental Survey

Dental Survey for Utah Dental Association 2016

* Indicates required field

Doctor's Name: *

Office Phone Number: *

Cell Phone Number: *

Email Address: *

What is the most important component of your practice? *

How many times a day are you asked to make a decision that is not clinical in nature? *

Do you get enough vacation time? *

Why not? *

Do you know your payroll percentage? *

What is your payroll percentage? *

Would you like to improve your payroll percentage? *

Do you have enough savings for retirement? *

Do you have a practice growth or exit strategy? *

What is your exit strategy? *

Would you like help creating or enhancing your strategy? *

Are you a member of the Dental Co-op? *

Do you offer Health Insurance for your employees? *

If you could offer excellent benefits that are extremely affordable would you be interested? *

How many employees do you currently have? *

Are you concerned with being ACA (Affordable Care Act) compliant? *

If we offer a group health plan that meets your needs may we contact you? *

Submit