HPA Application Form | High Performance Accountants

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HPA Application Form

PLEASE FILL THE FORM AS DETAILED AS POSSIBLE

Step 1 of 5

20%

YOUR APPLICATION

What you would like to achieve from your practice?(Required)

I'd like to make more money

I'd like to have more free time

I'd like a high performance team

All of the above

How long have you owned your practice?

1-3 yrs

3-5 yrs

5-10yrs

10+

Other

What stage of growth is your practice at?

Startup

Growing

Scaling

Exiting

What is the name of your Practice?(Required)

What's your name?*(Required)

First Last

If you are not exactly where you want to be, what do you think is getting in the way?*(Required)

Do you have a website?*(Required)

Yes

No

Approximately, What is the size of your active patient base?*(Required)

0 - 250

250 - 500

500 - 1,000

1,000 - 2,500

2,500 - 5,000

Other

In your opinion, what do you think will need to change to achieve your goals?*(Required)

A Better team

Better systems

More new patients

More returning patients

Better case acceptance

A strategic business plan

Improve my leadership

Other

What timeframe do you want to achieve your results?*(Required)

As soon as possible

Not a priority right now

How important it is to achieve these results to you?(Required)

0

1

2

3

4

5

6

7

8

9

10

Other

What is your email address?*(Required)

What's your mobile phone number?*(Required)

What is your postal address? (I’d like to send you some information)*(Required)

Someone from our office will reach out to schedule your call with one of our Practice Growth Specialist, what is the best time to reach you?

Morning

Midday

Afternoon

What kind of situation are you in right now?

I want a Done With Me Solution (I'd like to receive specific coaching/mentoring to assist me)

I want a DIY Solution (I would rather learn it and me/my team do it internally)

89 McLachlan St, Fortitude Valley QLD 4006

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