Build Trust & Grow Your Practice with Expert Digital Strategies

Build Trust & Grow Your Practice with Expert Digital Strategies

Basic Information

Owner Name *

Practice / Business Name *

Business Phone Number *

Business Contact Email *

What type of medical professional are you?

Chiropractor

Physical Therapist

Massage Therapist

Acupuncturist

Primary Care Doctor

Dentist

Dermatologist

Website (if applicable)

Social Media Handles (Instagram, TikTok, Facebook, YouTube, LinkedIn, etc.)

Business & Branding Detail

What services do you offer? (Select all that apply)

Chiropractic Adjustments

Pain Management

Physical Therapy

Massage Therapy

Acupuncture

Sports Rehabilitation

Wellness & Preventative Care

Cosmetic or Aesthetic Treatments

Who is your primary target audience? (Select multiple options)

Athletes & Active Individuals

People Seeking Pain Relief

Seniors & Aging Adults

Workers with Occupational Injuries

General Family Care

Prenatal & Postnatal Patients

Do you already have a brand identity? If YES → Upload Your Brand Kit. If NO → We will create one for you as part of your plan.

Would you like a competitor analysis report to identify market trends?

Yes
No
No elements found. Consider changing the search query.
List is empty.

Lead Generation & Patient Acquisition

How do you currently attract new patients? (Select all that apply)

Social Media Marketing

Google Search / Local SEO

Paid Ads (Google, Facebook, Instagram, TikTok)

Patient Referrals & Word of Mouth

Local Events & Community Outreach

Would you like a system for automated patient follow-ups & appointment reminders?

Option 1
Option 2
Option 3
No elements found. Consider changing the search query.
List is empty.

Would you like a CRM system set up to manage & automate patient leads?

Option 1
Option 2
Option 3
No elements found. Consider changing the search query.
List is empty.

Would you like a chatbot on your website to answer common patient questions & schedule appointments?

Option 1
Option 2
Option 3
No elements found. Consider changing the search query.
List is empty.

Video & Content Strategy

Would you like a structured content calendar for patient education & engagement?

Option 1
Option 2
Option 3
No elements found. Consider changing the search query.
List is empty.

Would you like pre-written content scripts for posts, reels, and patient education videos?

Option 1
Option 2
Option 3
No elements found. Consider changing the search query.
List is empty.

Would you like video repurposing services (turning long-form videos into reels, shorts, and TikToks)?

Option 1
Option 2
Option 3
No elements found. Consider changing the search query.
List is empty.

Would you like to schedule a monthly video shoot for promotional & educational content?

Option 1
Option 2
Option 3
No elements found. Consider changing the search query.
List is empty.

Would you like to run a personal brand awareness campaign for your medical practice?

Option 1
Option 2
Option 3
No elements found. Consider changing the search query.
List is empty.

Advertising & Social Media Growth

Would you like paid advertising to attract new patients?

If YES → Select platforms for ads (Multiple selections allowed.)

Facebook Ads

Instagram Ads

YouTube Ads

TikTok Ads

Google Ads

Would you like a strategy for retargeting potential patients?

Yes
No
No elements found. Consider changing the search query.
List is empty.

Would you like automated social media engagement for consistent visibility?

Yes
No
No elements found. Consider changing the search query.
List is empty.

Would you like real organic follower growth on Instagram (Guaranteed 500+ per month)?

Yes
No
No elements found. Consider changing the search query.
List is empty.

Would you like a YouTube channel strategy for patient education & lead generation?

Yes
No
No elements found. Consider changing the search query.
List is empty.

Website & SEO Optimization

Do you already have a website?

If YES → Provide Website URL

If NO → Would you like a new website created for your practice?

Yes
No
No elements found. Consider changing the search query.
List is empty.

Would you like website optimization for better Google rankings?

Yes
No
No elements found. Consider changing the search query.
List is empty.

Would you like four SEO-optimized blog posts per month?

Yes
No
No elements found. Consider changing the search query.
List is empty.

Would you like a Google My Business profile set up & optimized for local leads?

Yes
No
No elements found. Consider changing the search query.
List is empty.

Patient Communication & Email Strategy

Would you like an email marketing system set up for patient retention & promotions?

Yes
No
No elements found. Consider changing the search query.
List is empty.

Would you like weekly or monthly email newsletters for patient engagement?

Yes
No
No elements found. Consider changing the search query.
List is empty.

Would you like email automation for follow-ups, appointment reminders & promotions?

Yes
No
No elements found. Consider changing the search query.
List is empty.

Would you like a dedicated chatbot for responding to common patient questions?

Yes
No
No elements found. Consider changing the search query.
List is empty.

Would you like help writing professional email responses & business communications?

Yes
No
No elements found. Consider changing the search query.
List is empty.

Customization & Additional Requests

If your practice could be like any other successful brand, which one would it be?

Do you have specific marketing goals for the next 3-6 months?

Are there any additional services or requests you'd like us to provide?

Are you ready to proceed with setup and payment?

Basic Information

Owner Name *

Practice / Business Name *

Business Phone Number *

Business Contact Email *

What type of medical professional are you?

Chiropractor

Physical Therapist

Massage Therapist

Acupuncturist

Primary Care Doctor

Dentist

Dermatologist

Website (if applicable)

Social Media Handles (Instagram, TikTok, Facebook, YouTube, LinkedIn, etc.)

Business & Branding Detail

What services do you offer? (Select all that apply)

Chiropractic Adjustments

Pain Management

Physical Therapy

Massage Therapy

Acupuncture

Sports Rehabilitation

Wellness & Preventative Care

Cosmetic or Aesthetic Treatments

Who is your primary target audience? (Select multiple options)

Athletes & Active Individuals

People Seeking Pain Relief

Seniors & Aging Adults

Workers with Occupational Injuries

General Family Care

Prenatal & Postnatal Patients

Do you already have a brand identity? If YES → Upload Your Brand Kit. If NO → We will create one for you as part of your plan.

Would you like a competitor analysis report to identify market trends?

Yes
No
No elements found. Consider changing the search query.
List is empty.

Lead Generation & Patient Acquisition

How do you currently attract new patients? (Select all that apply)

Social Media Marketing

Google Search / Local SEO

Paid Ads (Google, Facebook, Instagram, TikTok)

Patient Referrals & Word of Mouth

Local Events & Community Outreach

Would you like a system for automated patient follow-ups & appointment reminders?

Option 1
Option 2
Option 3
No elements found. Consider changing the search query.
List is empty.

Would you like a CRM system set up to manage & automate patient leads?

Option 1
Option 2
Option 3
No elements found. Consider changing the search query.
List is empty.

Would you like a chatbot on your website to answer common patient questions & schedule appointments?

Option 1
Option 2
Option 3
No elements found. Consider changing the search query.
List is empty.

Video & Content Strategy

Would you like a structured content calendar for patient education & engagement?

Option 1
Option 2
Option 3
No elements found. Consider changing the search query.
List is empty.

Would you like pre-written content scripts for posts, reels, and patient education videos?

Option 1
Option 2
Option 3
No elements found. Consider changing the search query.
List is empty.

Would you like video repurposing services (turning long-form videos into reels, shorts, and TikToks)?

Option 1
Option 2
Option 3
No elements found. Consider changing the search query.
List is empty.

Would you like to schedule a monthly video shoot for promotional & educational content?

Option 1
Option 2
Option 3
No elements found. Consider changing the search query.
List is empty.

Would you like to run a personal brand awareness campaign for your medical practice?

Option 1
Option 2
Option 3
No elements found. Consider changing the search query.
List is empty.

Advertising & Social Media Growth

Would you like paid advertising to attract new patients?

If YES → Select platforms for ads (Multiple selections allowed.)

Facebook Ads

Instagram Ads

YouTube Ads

TikTok Ads

Google Ads

Would you like a strategy for retargeting potential patients?

Yes
No
No elements found. Consider changing the search query.
List is empty.

Would you like automated social media engagement for consistent visibility?

Yes
No
No elements found. Consider changing the search query.
List is empty.

Would you like real organic follower growth on Instagram (Guaranteed 500+ per month)?

Yes
No
No elements found. Consider changing the search query.
List is empty.

Would you like a YouTube channel strategy for patient education & lead generation?

Yes
No
No elements found. Consider changing the search query.
List is empty.

Website & SEO Optimization

Do you already have a website?

If YES → Provide Website URL

If NO → Would you like a new website created for your practice?

Yes
No
No elements found. Consider changing the search query.
List is empty.

Would you like website optimization for better Google rankings?

Yes
No
No elements found. Consider changing the search query.
List is empty.

Would you like four SEO-optimized blog posts per month?

Yes
No
No elements found. Consider changing the search query.
List is empty.

Would you like a Google My Business profile set up & optimized for local leads?

Yes
No
No elements found. Consider changing the search query.
List is empty.

Patient Communication & Email Strategy

Would you like an email marketing system set up for patient retention & promotions?

Yes
No
No elements found. Consider changing the search query.
List is empty.

Would you like weekly or monthly email newsletters for patient engagement?

Yes
No
No elements found. Consider changing the search query.
List is empty.

Would you like email automation for follow-ups, appointment reminders & promotions?

Yes
No
No elements found. Consider changing the search query.
List is empty.

Would you like a dedicated chatbot for responding to common patient questions?

Yes
No
No elements found. Consider changing the search query.
List is empty.

Would you like help writing professional email responses & business communications?

Yes
No
No elements found. Consider changing the search query.
List is empty.

Customization & Additional Requests

If your practice could be like any other successful brand, which one would it be?

Do you have specific marketing goals for the next 3-6 months?

Are there any additional services or requests you'd like us to provide?

Are you ready to proceed with setup and payment?

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