Comprehensive Online Analysis Questionnaire

Or you can download the PDF to print out and fax back to us at 727-255-5132.

Please complete this questionnaire prior to your call.

It’s really important for us to gain a thorough understanding of you, your practice and your current and past marketing efforts to properly complete our analysis. Please answer the questions below so we can both make the most of our time.

"*" indicates required fields

Doctor's Name

Name of Practice*

Name of person filling out the form (if not the doctor)

Position of person filling out the form (if not the doctor)

Which marketing channels is your practice currently utilizing?*

	Done by Practice	Done by Outside Company	Not doing at all
Website
Facebook
Facebook ads
Instagram
Email Marketing to current patients ( not recall and appt. emails)
Google Ads
SEO
Blogs on your website
Postcards/Direct mail
Radio
Billboards
Magazines

If you are doing any other types of marketing not listed above, please use the field to share that information.

If you are doing "Other" marketing, please tell us what other marketing you are using

Is the Office team asking patients for reviews?*

Yes

Does the office use a software solution to ask patients to leave reviews?*

Yes

What are your marketing goals?*

What are your marketing frustrations?*

What makes your practice unique?*

What is the average number of NEW PATIENTS you have seen per month over the last 12 months.*

What is your goal for the average number of new patients per month over the next 12 months?*

How many referrals are you currently getting per month over the last 12 months?*

What percentage of patients researched your practice online prior to scheduling their first appointment?*

What percentage of patients referred to you by "word of mouth", researched your practice online prior to scheduling their first appointment?*

What do you think patients see when they research your practice online?*

If a patient searched for your practice and compared your online presence (reviews, website, social media) to that of 3 other local practices which practice do you think they would choose and why?*

What was your practice revenue the last calendar year?*

What are your revenue goals?*

What percentage of your patients are fee for service?*

If you have a little more time these questions would also be helpful

What efforts have you put forth to engage your patients outside of the office and deepen your relationship with them?

How often are patients seeing your practice online and where?

Are your online efforts outside the practice increasing case acceptance and generating referrals from existing patients?

How are you engaging your patients to generate more referrals?

What are you doing to provide a unique and positive experience for your patients BEFORE their visit?

What are you doing to provide a unique and positive experience for your patients DURING their visit?

What are you doing to provide a unique and positive experience for your patients AFTER their visit?

Describe your strategy for handling negative and less than desirable reviews posted about your practice on major review websites (Google, Facebook, Yelp, HealthGrades, etc.)?

Who in your office is consistently monitoring your online reviews?

Describe how you are consistently generating new content for your practice online.

How are you building awareness about your practice within your local community?

How do you envision your PRACTICE'S BRAND evolving over the next 3-5 years?

This field is for validation purposes and should be left unchanged.

Comprehensive Online Analysis Questionnaire

Please complete this questionnaire prior to your call.

If you have a little more time these questions would also be helpful

Schedule Your FREE 1-on-1 Call

What You Can Expect During Your Call

Three Easy Steps

Schedule A Call With Us Today!