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Online Practice Audit – Client Information
Jim McDannald, DPM
Podiatry Growth - Online Practice Audit - Information Form
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In order to get started, please fill out the following information. Once we receive your completed form, we’ll be able to set up a call with you. If needed, you can save the form and fill out later.
Name
*
First
Last
Email
*
Clinic Name(s)
*
Practice Location(s)
*
Website
*
Do prefer patients reach out to the clinic for an appointment via:
*
Phone Call To Your Practice
Submit Form To Your Email
Have you previously tried online marketing to build your practice?
*
Yes
No
Which forms of online marketing?
*
SEO (Search Engine Optimization)
Google Ads
Facebook Ads
Email marketing
Local listings mangement
Google My Business
Review gathering software
Social media posts
Blog posts
Other
Please specify, Other:
What is the most important goal for your practice?
*
What is frustration or problem with your practice can I help you solve?
*
In which cities, towns or neighborhoods do most of you patients reside/work?
*
Are there residents from other locations that you’d like more of in your practice?
*
Yes
No
I’m not sure
Please specify list those additional cities, towns or neighborhoods:
*
Would you characterize your practice as a general practice or do you service a specific niche?
*
General practice
Niche practice
Mostly general, but have an area of speciality
What is your specific niche or specialty?
*
Most profitable services/procedures:
*
Which services/procedures would you like more of in your practice:
*
Have you ever estimated the lifetime value (LTV) of a patient to your practice?
Yes
No
Tell me more about the LTV exercise and your results.
*
What accounts have been set up for you or your clinic?
*
Google My Business
Facebook
Twitter
LinkedIn
YouTube
Yelp
HealthGrades
Other
None
Google My Business Page Address
*
Facebook Page Address
*
Twitter Page Address
*
LinkedIn Page Address
*
YouTube Page Address
*
Yelp Page Address
*
HealthGrades Page Address
*
Other Accounts Page Addresses
*
Local Compeititors
Please provide the websites of 3 local healthcare professionals who provide similar types of services and attract similar patients.
Local Competitor Website 1
*
Local Competitor Website 2
*
Local Competitor Website 3
*
Website Details
Please provide the details below so I can login into the backend of your website and see how things are set up. Most website sites are built with WordPress.
Website Login Address
*
Website Username
*
Website Password
*
Google Analytics
Please follow the steps below to grant access to your Google Analytics account.
1. Sign in to your Analytics account.
2. Select the Admin tab and navigate to the desired account.
3. In the ACCOUNT column, click User Management.
4. Add
[email protected]
in the Add Permissions For field
5. Click the notify this user by email check box and click Add
Google Ads
If you have a Google Ads account, please follow the steps below to grant access.
1. Sign in to your Google Ads account.
2.In the upper right corner of your account, click the tools icon, then under “Setup", click Account access.
3. Click the blue “+" button.
4. Select the “standard" access level, then enter my email:
[email protected]
.
5. Click Send invitation.
Other Details
Is there anything else you’d like to share about your practice, accounts or business objectives?
Phone
This field is for validation purposes and should be left unchanged.
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