This questionnaire must be completed all at once. If you are not able to complete the questionnaire due to time constraints, scroll to the bottom and submit what you have finished so far. You can revisit the other questions later or during your consultation. Please include your Name, email and website on all submissions.
Client Name *
If your site is still in development AND you do not have a website address yet, please enter http://www.nodomain.com in this field.
What Would You Like to Advertise?
(example: Dental Implants, General Dentistry Services, Wisdom Teeth Removal)
Do You Have a Special Offer or "Call To Action" You Would Like to Highlight in Your Campaign?
(example: Complimentary Consultation, Special Pricing, etc.)
Is There Anything About Your Practice That You Would Like to Emphasize in the Advertisements?
(example: Years of certification, advanced technology, certifications, etc.)
What Is Your Target Demographic? What Geographic Locations Would You Like to Target? You May Choose As Many As You Like.
(We recommend not extending your target radius too far since that will result in a high volume of untargeted clicks and money spent.)
We Recommend Scheduling Your Ads for when You Are Open and Available to Take Calls. What Hours Would You Like Your Ads to Run? What Email Address Would You Like Online Leads to be Sent To?
(Use an email that is already working and checked frequently.)
What Phone Number Would You Like Your Calls Sent To? We Will Be Designing a Custom Landing Page For Your Campaign(s). Do You Have Any Notes or Requests For Our Designer? Additional Comments/Questions
Please include anything you would like to discuss during your consultation or any special concerns you have.
This field is for validation purposes and should be left unchanged.