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The Practice Freedom Method™ – Doctor Application

This short assessment will help us understand exactly where you are in your career or practice journey — and what kind of support will help you move forward.

Whether you're just starting out, feeling stuck, or ready to scale, this quiz will help identify your current growth stage and guide you toward the best next step.

It only takes 5 minutes to complete, and based on your answers, we’ll let you know if you’re a fit for a 1:1 strategy call, a growth plan, or ongoing support options tailored to where you are right now.

Click The Button Below To Find Out What Stage You’re In

Start

Question 1 of 34

What is your full name?

Question 2 of 34

What is your email address?

Question 3 of 34

What phone number should we use to reach you?

Question 4 of 34

What is the name of your practice?

Question 5 of 34

What city/state is your practice located in?

Question 6 of 34

How many years have you been practicing?

A

1–3 years

B

4–7 years

C

8–12 years

D

13–20 years

E

20+ years

Question 7 of 34

What type of practice do you own?

(Select all that apply)
A

General Dentistry

B

Pediatric Dentistry

C

Orthodontics

D

Oral Surgery

E

Multi-Specialty Group

F

Medical Practice (MD/NP/PA)

G

Other

Question 8 of 34

How many locations do you operate?

A

1

B

2-3

C

4+

Question 9 of 34

Estimated monthly practice revenue

A

Under $80K

B

$80K–$150K

C

$150K–$250K

D

$250K–$400K

E

$400K+

Question 10 of 34

Average monthly take-home pay for the doctor

A

Under $10K

B

$10K–$20K

C

$20K–$35K

D

$35K–$50K

E

$50K+

ENERGY & LEADERSHIP

Share how you manage your energy and leadership so we can better support your growth.

Question 12 of 34

On a scale of 1–10, how would you rate your energy as a leader in your practice?

A

1-3

B

4-6

C

7-9

D

10

Question 13 of 34

What factors are influencing that score right now?

Question 14 of 34

What drains your energy the most inside your practice right now?

Question 15 of 34

What gives you energy when working in or on your practice?

Question 16 of 34

How often do you feel overwhelmed or burnt out?

A

Daily

B

Several times per week

C

Weekly

D

Rarely

Question 17 of 34

When systems break down or team issues arise, how do you typically respond?

SYSTEMS & PRACTICE STRUCTURE

Help us understand your practice structure and the systems you’re using day to day.

Question 19 of 34

Which systems are currently in place and consistent in your practice?

(Select all that apply)
A

Scheduling

B

Billing & Collections

C

Hygiene Department

D

Marketing

E

Hiring & Onboarding

F

Payroll & Financial Tracking

G

KPI Dashboard

H

Morning Huddles

I

Team Accountability

J

None of the above

Question 20 of 34

How confident are you in your current systems?

A

Extremely confident

B

Somewhat confident

C

Not confident

D

What systems? We need help.

Question 21 of 34

What is the biggest operational breakdown in your practice right now?

Question 22 of 34

How many hours per week do you work clinically and administratively combined?

GOALS & ALIGNMENT

Every doctor has different aligner goals. Tell us what you're aiming for so we can make sure the training and coaching match your direction.

Question 24 of 34

Describe the current culture of your practice in three words.

Question 25 of 34

What are your biggest leadership challenges right now?

Question 26 of 34

Select all outcomes you’re seeking through coaching

(Select all that apply)
A

Increase revenue

B

Improve systems

C

Build a leadership team

D

Reduce clinical hours

E

Improve culture

F

Create an exit plan

G

Restore my energy and clarity

H

Build a scalable plan

I

Other

Question 27 of 34

What is your financial goal for the practice over the next 12 months?

Question 28 of 34

What is your personal lifestyle goal over the next 12 months?

Question 29 of 34

Why do you believe now is the right time for coaching?

FIT & COMMITMENT

Your growth depends on your commitment. This section helps us see where you are in your journey and how ready you are to take action.

Question 31 of 34

The Practice Freedom Method™ requires consistency, accountability, and leadership growth. Are you prepared to commit to this?

A

Yes

B

No

C

I want to understand what this looks like

Question 32 of 34

Are you financially prepared to invest in high-level coaching?

A

Yes I’m ready

B

Yes but I may need payment options

C

Not at this time

Question 33 of 34

What makes you believe you are a strong fit for the Freedom Framework™?

Question 34 of 34

 Is there anything else important you’d like Dr. Ellis to know before reviewing your application?

Confirm and Submit