How are you marketing your business? Is it effective? Is it time-consuming? Is it cost-effective? Can you delegate marketing? Be sure that there's a good balance between cost (of time, energy and money) and return on investment.
How are you serving your clients? Are you offering the services they need, services they don't respond to, or perhaps need to add some features? Is their investment fair to both you and your clients?
What's your process? Could your business practices be streamlined or condensed? What tasks are you doing that should be either delegated or eliminated, so you're doing ONLY those which serve your business and which only you can do?
Where are you doing business? Is your office, studio or other workplace conducive to efficiency, productivity, and success? Do clients enjoy it? Do you?
And what about expenses? Are they reasonable or do you need to cut back? Do expenditures directly serve your business goals?0
Many years ago I was involved with Total Quality Improvement processes and disaster recovery for an employer. As analytical as I can be, it was one of the most enjoyable tasks I had there. It taught me a great deal about efficiencies and repeated evaluation of systems. I strongly recommend you schedule time in your calendar to do a total business examination like this at least annually. You deserve a tune-up!