But it's all just trial and error huh?

The parties herein waive trial by jury and agree to submit to the personal jurisdiction and venue of a court of subject matter jurisdiction located in Kern County, State Of California.

We want to start this process with as little 'trial and error' as possible.

Marketing is trial and error.

To make matters worse the price tag is fairly high ($1,000) and there is no evaluation or trial period for the product.

Pipeliner gives a free trial period if you want to test it out, and you can get up and running very quickly.I liked Pipeliner a lot but didn't want to pay for it, so I found a free Kanban app called Trello where I have built my own lead tracking board.  

I am using a variation of this but not handwriting (using a handwriting font) - I'm also a developer by day so with a csv (or any kind of spreadsheet) I am pulling the name from the 'Name' column, if there's a first/last name I strip the last name and lead off with a 'Dear James' or whatever.

And I'm less than impressed with social media such as Facebook and YouTube - they have not been good producers in our trials.

I am thinking about, a randomized trial.  1000 yellow letters with MD and 2000 yellow letters without it.Once you start negotiations half of the uniformed contacts should be told you are a Medical Doctor.Profit is probably the most important thing to observe but other results such as... 1)  Call back rates.2)  Number of counter offers.3)  Percentage of increase from original offer to accepted offer.... would be very interesting.PS  Congratulations on getting the MD.

This is NOT typical however it is not out of the range of normal variation.