Don’t take my advice - Dnt listen to any consultant- listen only to your customer - talk only to your customer - that’s enough to understand what is needed to grow your practice. Having constant touch with customers is the sure way to grow any kind of business When you talk to customers , you have very steep learning curve. You instantly know how market is changing and consequently how clients needs are changing. You can take first hand feedback about your product or services and also about your team members.