<div class="wdform-page-and-images"><div id="form_id_tempform_view1" class="wdform_page" page_title="Untitled page" next_title="Next" next_type="text" next_class="wdform-page-button" next_checkable="true" previous_title="Previous" previous_type="text" previous_class="wdform-page-button" previous_checkable="false"><div class="wdform_section"><div class="wdform_column"><div wdid="2" class="wdform_row">%2 - Name%</div><div wdid="3" class="wdform_row">%3 - Best phone number to reach you%</div><div wdid="5" class="wdform_row">%5 - Practice location%</div><div wdid="9" class="wdform_row">%9 - Practice hours%</div><div wdid="10" class="wdform_row" style="position: relative; left: 0px; top: 0px;">%10 - How many weeks of  personal vacation taken annually?%</div><div wdid="11" class="wdform_row">%11 - How many ops for restorative?%</div><div wdid="12" class="wdform_row">%12 - How many ops for hygiene?%</div><div wdid="13" class="wdform_row" style="position: relative; left: 0px; top: 0px;">%13 - How long have you been practicing?%</div><div wdid="15" class="wdform_row">%15 - Do you own the practice? %</div><div wdid="16" class="wdform_row">%16 - -If yes, how long?%</div><div wdid="17" class="wdform_row">%17 - -If yes, do you feel like a ‘Business Owner’ or ‘Business Operator?%</div><div wdid="18" class="wdform_row">%18 - Does the practice have a clear VISION Statement? %</div><div wdid="19" class="wdform_row">%19 - - If yes- please share %</div><div wdid="20" class="wdform_row">%20 - Do you have a clear plan to achieve your Vision? %</div><div wdid="21" class="wdform_row">%21 - Rate the ‘Health’ of your Team Culture %</div><div wdid="23" class="wdform_row" style="position: relative; left: 0px; top: 0px;">%23 - Rate your External Marketing %</div><div wdid="22" class="wdform_row">%22 - Rate your Internal Marketing %</div><div wdid="24" class="wdform_row">%24 - How many ‘Active patients’? (Patient has been in for an appointment within  the past 16 months) %</div><div wdid="25" class="wdform_row">%25 - How many New Patients per month on average?%</div><div wdid="26" class="wdform_row">%26 - How many ‘days of hygiene’ (8hr shift) per week? %</div><div wdid="27" class="wdform_row">%27 - List all team members (first name) and position%</div><div wdid="1" class="wdform_row">%1 - type_submit_reset_1%</div></div></div><div valign="top" class="wdform_footer wd-width-100"><div class="wd-width-100"><div class="wd-width-100 wd-table" style="padding-top:10px;"><div class="wd-table-group"><div id="form_id_temppage_nav1" class="wd-table-row"></div></div></div></div></div></div></div>