Consulting Services Form

Type of Business (check all that apply)
 Private Practice Long-term Treatment Center Wilderness Program Interventionist Detox Extended Care Health Spa/Recovery Retreat Monitoring Service Outpatient Treatment Adolescent/Young Adult Recovery Coach Christian Sober Living House Psychiatric Hospital Eating Disorder Treatment Other 30-day Treatment Center Sober Escort Service Sex & Love Addiction Treatment 90-day Treatment Center Therapeutic Boarding School Gambling Treatment

 Yes No


What areas of your company are you trying to improve? (check all that apply)
 Marketing Hiring/Recruiting Information Technology (IT)

 Clinical Services/Direct Care Admissions Other


Since you checked Marketing, please specify the particular areas you have needs? (check all that apply)
 Branding/Brand Management Internet, Radio, Print, Television Marketing Team Management Relationship Building Overall Return of Investment Other Increasing Census Strategic Planning