MASTERY Surveys
HOME PRACTICE MANAGEMENT CORPORATE CONTACT
 
REGISTRATION

>   Assessments  
>   Coaching/Consulting  
>   Staff Communication  

Contact Us

THE MASTERY COMPANY  
PO Box 1806  
Woodinville, WA 98072  

info@masterycompany.com  





 BU%20Banner.3.small.jpg

General Registration - Dental Practice Assessment Tools

This is the general registration form for THE MASTERY COMPANY’S dental practice assessment tools. First, check those assessments you wish to subscribe to. Then, complete the form and CLICK SUBMIT at the bottom of the page. 

Each of the Core, Dentist Performance and Practice Management survey instruments come with a Report of Findings and a 1-hour phone debrief with Dr. Marc Cooper who will review your results and coach you on implementation of the recommendations.

The Staff Performance Evaluations come as a package. A single fee per practice up to eight employees and an additional fee for staff evals beyond eight.

If you have any questions, please feel free to e-mail us at Mastery Information or call (425) 806-8830.

Check the "Core" Practice Assessment tool(s) you are registering for:
Dentist Performance Assessment   
Staff Satisfaction Assessment   
Patient Satisfaction Survey OR Parent-Patient Satisfaction Survey   
Profit Planning Kit   
Check the Staff Performance Evaluations you are registering for:
Hygienist    Treatment Coordinator    Receptionist   
Office Manager    Dental Assistant    Associate   
Check the "Practice Management" Assessment tool(s) you are registering for:
Regulatory Compliance   
Chart Review   
Referral Satisfaction for Dental Specialists   
Name (Last, First) *
E-Mail Address *
Office Address: *
Zip Code:
Country
Main Phone Number *
Back Line Number *

Note to Dentist Subscriber
If you intend to delegate some, or most, of the management of the selected survey(s) to someone in your office, please complete the following section. We will copy this individual on all communications. She/he will be used as your point of contact to support or help onPARC with the survey process.
Name (First, Last)
E-mail Address
Direct Phone Line

COPYRIGHT NOTICE This survey may be downloaded for viewing purposes, but may not be used without the prior consent of THE MASTERY COMPANY (TMC). Consent may be obtained by registration with or by hiring TMC to conduct the survey. Use of this questionnaire without prior consent is in violation of the Federal Copyright Law [17 USC 101 et seq]. Violators may be subject to criminal penalties as well as liability for substantial monetary damages, including statutory damages of up to $100,000 per infringement, costs and attorney's fees.

Copyright 2005-2010, THE MASTERY COMPANY. All Rights Reserved.
Agreement to Conditions: *
Yes, I agree.   
No.   
Credit Card Information
Credit Card Number (No Spaces) *
Expiration Date (01/02)

* Required to submit this form





 


Sign In