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Licensed Provider Survey

Are you currently a Licensed Provider of the Urbanek TMJ Split? Were you, at one point, a Licensed Provider of the Urbanek TMJ Splint? If your answer is YES, we'd love to ask you a few questions to help us create an optimal Licensed Provider program. We appreciate you taking 10 minutes to answer these questions. Thank you very much for your time and honest feedback. 

The Urbanek TMJ Splint Team 

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Question 1 of 13

How long have you been treating TMD patients?

Question 2 of 13

How many TMD patients do you see on a monthly basis?

Question 3 of 13

What sparked your initial interest in The Urbanek TMJ Splint?

Question 4 of 13

Why did you decide to become a Licensed Provider?

Question 5 of 13

Why did you decide not to continue as a Licensed Provider?

Question 6 of 13

How many Urbanek TMJ Splints patients would you like to treat on monthly or annual basis? State your goal.

Question 7 of 13

How do you currently promote your exclusive Licensed Provider status with the Urbanek TMJ Splint to potential patients and potential referral sources? 

(Select all that apply)
A

Email marketing

B

Our practice website

C

Word of mouth

D

Social Media

E

Monthly referral letters

F

None

Question 8 of 13

Do you promote your practice on Social Media? If yes, what platforms do you currently use? 

(Select all that apply)
A

Facebook

B

Instagram

C

YouTube

D

LinkedIn

Question 9 of 13

Are you currently using video e-mail as part of your marketing strategy?

A

Yes

B

No

Question 10 of 13

Do you capture video testimonials from your patients? 

A

Yes

B

No

C

Not video but we capture written testimonials

Question 11 of 13

Google my Business is very important in growing your practice and increasing visibility. Do you know your Google Star Rating? 

 

A

Yes

B

No

Question 12 of 13

What are your greatest obstacles in driving TMD referrals to your practice? What Marketing Resources would you find helpful in promoting your TMJ service?

 

Question 13 of 13

Adding a cash service that bypasses insurance carrier coverage simultaneously driving in large numbers of patients is valuable to my practice. 

A

Yes

B

No

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