Which of the following goals relate to your practice? *

Grow new patient volume

Recapture lost market share

Increase conversions

Improve online reputation

Expand online presence

Expand market area

Leverage virtual care

Increase bottom line revenue

Optimize high-end specialized procedures

Improve the patient experience

Build brand equity

Do you currently measure and report on any key marketing metrics? *

Yes

No

Don’t know

If you do analyze your marketing metrics, which of the following do you report on regularly? *

New patient leads

Source of new patients

Conversion rates

Cost of new patient leads

Cost of new patient acquisitions

Revenue per patient care episode

Social media engagement

Website visits

Reputation management

None of the above

How regularly do you analyze and report on the metrics? *

Weekly

Monthly

Quarterly

Annually

Never

What are your practices primary sources of new patient referrals *

Self-referral

Provider referral

Website

Social media

Hospital

Friend

Employee

What channels do you currently use to communicate with your patients? *

Social media

Staff phone

Email

Text

Newsletters

Posters

None of the above

What types of messages do you frequently send to your patients *

Appointment reminders

Self-care information

New services

New locations

Screenings

Refer a friend reminders

Physician updates/profiles

Care updates

Practice updates

How frequently do you communicate with your patients? *

Appointment reminders only

Weekly

Monthly

Quarterly

Annually

Never

How many reviews would you estimate you have online across all platforms? (Facebook, google, Healthgrades, YELP, Vitals) *

Less than 25

Between 25-50

50-100

100-500

500+ reviews

Do you have a process in place to address the following? *

Addressing a negative review

Responding to positive reviews

Encouraging patients to leave online reviews

Gathering testimonials

None of the above

Do you have a formal process in place to measure the patients satisfaction with their overall appointment? *

Yes

No

Name *

First Name

Last Name

Phone

(###)

###

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