Chiropractor Survey Chiropractors: Take This 2 Minute Survey and Receive One of 3 Free Gifts Chiropractor Raw Public Survey for Free Gift Name * Practice Name * Email * Phone * 1. What is the biggest problem you are having in your practice? 2. What would happen if you were able to solve that problem? 3. Are you using nutrition as part of your practice? Yes No 4. If yes on nutrition, what percentage of your practice revenue is from nutrition? 5. How many patient visits are you doing per month on average? 6. Please rate your satisfaction with your level of patient visits, on a 1-5 scale, with 5 being most satisfied. 5 4 3 2 1 7. Who do you look up to in the field of chiropractic? 8. Please indicate which free gift you would like: * Free ebook on getting better results for patients Free subscription to Ulan Nutritional Systems email newsletter Free 20 minute consultation on improving patient results Submit
