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PeerSupervision.com

Practice Profile Questionnaire

  1. Are you meeting your financial needs through your practice?

  2. Are you working full time or part time?

  3. Where do you practice?  Home office, Office, Clinic, Spa, Other

  4. What do you charge for an hour massage?  for 1 1/2 hour massage?

  5. Do you accept insurance for payment?  MVA? Other?

  6. How much of your practice is cash vs. insurance reimbursement?

  7. Do you give away free massages, gift certificate other services?

  8. How many client do you see each week consistently?

  9. Does your client load vary month to month?  Seasonally?  Other variations?

  10. Client Profile
    Male or Females?
    Age (children, adults, seniors)
    Income
    Education
    Profession
    Engage in Physical Activity (Exercise, Yoga etc)
    Use other holistic therapies
    Specialized Populations  - pregnancy, sports related etc

  11. Why do you think your clients come to you?
    Injury Recovery?  Relaxation?  Fitness? Preventative?

  12. How do you take care of yourself?
    What number of clients do you limit yourself to?
    Do you receive massage/bodywork weekly?
    Do you go to other health professionals?  Counselors, acupuncturists, naturopaths, supervisor?
    How many vacations do you take each year?
    How many days off do you allow yourself?
    What exercise do you do?
    What do you do for entertainment?
    Do you meditate or have other spiritual practices?

  13. Are you friends with any of your clients?

  14. Do you find that you take on symptoms that your clients have?

  15. Do your clients call you at home?

  16. Do you ever feel frustrated with client's progress?

  17. Do you often work longer on some clients?

  18. Do you love doing massage/bodywork?

  19. What kind of clients do you love working with?  Injuries, sports etc. (What makes you feel the best?)

  20. What do you want your practice to look like?  Go back and answer the questions above from what you think you would like to have in your practice.

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