| Please note that all fields followed by an asterisk must be filled in. |
First Name* First Name* | |
Last Name* Last Name* | |
E-mail Address* E-mail Address* | |
| Web Site URL | |
| City | |
| State/Prov | |
| Zip/Postal Code | |
Country* Country* | |
Name of the Acupuncture School you attended:* Name of the Acupuncture School you attended:* | |
Year you graduated:* Year you graduated:* | |
| Year you opened your practice/started working as an acupuncturist: | |
| What type of practice do you have? |
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| Did you use a lawyer to set up your business? |
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| Do you own, lease, or rent space for your acupuncture business? |
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| Is your acupuncture practice your sole source of income? |
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| Do you currently see the maximum # of patients your schedule allows? |
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| Do you accept health insurance? |
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| Do you accept credit card payment? |
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| Do you have an accountant for your acupuncture business taxes & finances? |
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| Do you have a website for your acupuncture practice? |
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| If you have a website, what is the yearly cost? (including domain, hosting, etc.) |
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| If you have a website, do you sell goods on it? |
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| If you have a website, how is it maintained/updated? |
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| Did your acupuncture school prepare you for running your own acupuncture business? |
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| Do you feel that you are "successful"? |
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| Do you have student loans and other debt you are currently making payments on? |
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| Does your acupuncture business pay for your health insurance? |
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| Does your acupuncture business pay for your life insurance? |
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| Does your acupuncture business contribute to your retirement account? |
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| When you retire what will you do with your practice? |
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| From a business perspective, what has been the most significant challenge? |
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| As an acupuncturist, what is your greatest joy? |
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| What is the best advice you can give to new acupuncturists just starting out? |
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| Please add any other comments. Your wisdom and experience are appreciated! |
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