Name*
Address*
Suite or Office No.
City, State and Zip*
Country
*
*
*
"Info Required

Evaluating Your Existing Practice


1. Do you feel that you are known as a pediatric or family wellness chiropractor? Yes No
2. Do you want to expand in the area of chiropractic pediatrics or family wellness? Yes No

3. My commitment to children and Chiropractic Pediatrics is…
4. Please check where you and your office are in regards to a Family Wellness Practice.
Needs Major Work
Needs Tweaking Transformed
Office Environment
Child Education
Parent Education
In Office Events/Programs
Community Events/Programs
School Outreach Programs
Staff/Teamwork
New Patient Protocol
Financial Plan
Academic Competence
Clinical Competence
5. Would you like me to follow up with you on how we can develop your family wellness practice? Yes No
Privacy & Legal | All rights reserved. © 2013, 2016 Dr. Claudia Anrig