Form cover
Page 1 of 5

The Presence Protocol Fit Assessment

This takes about 3 minutes. Your answers give me a clear picture of where your practice is today, where you want it to go, and what's standing in the way.

The more honest and specific you are, the more useful my recommendation will be. I read every response personally, and I'll point you to the right next step, whether that's working together or not. You'll never be asked for patient information.

Have a question while you're filling this out? Email me anytime at idia@cbghealth.co.

About You

First and last name

Email

So I can follow up with you.

What's the best way to reach you?

A
B
C
D
E

Phone number or @handle (only if you didn't pick Email)

What type of care do you provide?

A
B
C
D
E

About Your Practice Today

Where are you in your journey?

A
B
C
D

How does your practice fit into your work life?

A
B
C
D

About how many patients do you see in a typical week?

A
B
C
D
E

How full is your schedule?

A
B
C
D

How do patients pay?

A
B
C
D