Client Questionnaire (SEO Only)

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Step 1 of 5

Please describe yourself and your practice.*

What are your business hours? (If multiple locations, please list hours for each location)*

In your own words, what makes you/your practice different from any other practice in your area? (Bedside manner, Technology, Unique Services, etc.)*

(Please do not close your current browser to prevent loss of completed answers.)

Getting To Know You

Your full name as you would like it displayed on your website*

Your business name*

Address for website (all locations)*

Telephone number for website (if multiple locations, please list all Current Phone Numbers (Local and Toll Free)*

Fax number for website

Contact email address on website for patient use*

Primary contact(s) for this project (Include name, title and email for each person)*

A list of all current doctors associated with your practice*

When is your birthday?*

If you have more than one provider, please list any additional birthdays below.

Are you board certified?*

Yes

If so, by whom?*

Please list any associations with which you are affiliated or any additional certifications.*

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Website Information (If you already have one)

Website URL & any additional websites/domains you may own

Website hosting company

Website hosting company login credentials

Where is your email being hosted?

(Please do not close your current browser to prevent loss of completed answers.)

Brand Positioning

What is your practice's Mission Statement? (Why do you do what you do?)*

Let's talk about your service. What are we selling? (Both literally and figuratively. On the surface, it might be a procedure and underneath the surface, it may be confidence.)*

What is the promise your brand provides patients? How will your practice deliver on that promise?*

How would you like to be perceived through your website by potential patients/customers? (Trusting and caring, innovative and technology driven, friendly and compassionate, etc.)*

What problems does your practice solve for your patients? (What are your patients' pain points? Ex: Convenience, Specific Technology, Comfort)*

Can you give percentages of your current patients’ ethnic makeup? (i.e. 45% Caucasian, 20% Hispanic...)*

Who are your current patients? (gender, age, income level, education level, marital status, occupation, attitudes, interests, lifestyle, what procedure are they receiving? etc.)*

Who is your ideal patient? (gender, age, income level, education level, marital status, occupation, attitudes, interests, lifestyle, what procedure are they receiving? etc.)*

What are your patients' barriers to booking an appointment? (fear, procedure knowledge, cost, representation)*

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Marketing Strategy

What are your top 6 services you’d like to promote online and ideally rank for in search engines?

Service #1*

Service #2*

Service #3*

Service #4

Service #5

Service #6

What are your top 1-3 geographic targets (i.e. cities, metro areas, counties)?

Geographic target #1*

Geographic target #2

Geographic target #3

Who do you consider your top 3-5 competitors?

Competitor #1 Website URL*

Competitor #2 Website URL*

Competitor #3 Website URL*

Competitor #4 Website URL

What are your competitors' current strategies in media? What type of media are they using to market their products or services?*

What are your competitors’ strengths and weaknesses? (What potential threats do they pose?)*

What potential opportunities does this make available for you?

Do you offer free consultations?*

Yes

How do you follow up with your patients? How do you keep patients in your funnel after their office visit? (Ex: Review Requests, Email Marketing)*

(Please do not close your current browser to prevent loss of completed answers.)

Client Questionnaire (SEO Only)

Getting To Know You

Website Information (If you already have one)

Brand Positioning

Marketing Strategy

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Client Questionnaire (SEO Only)

Getting To Know You

Website Information (If you already have one)

Brand Positioning

Marketing Strategy

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