Tell Me About Your Practice

Andrea Fowler Design
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Jun 4, 2021 / by Andrea Fowler Design

Thank you for taking the time to tell us about your practice. Please answer as thoroughly as possible, but feel free to bypass questions that you don’t understand or don’t consider relevant.

The more you can tell us now, the more likely we are to create a brand that aligns with your practice and vision.

Name *

First

Last

Practice Name *

Email *

Phone *

Tell me about your practice... *

How are you currently marketing your practice? *

What goals do you have for your marketing efforts? *

Increase Practice Revenue
Expand Into New Markets
Increase Practice Awareness + Recognition
Improve Search Engine Results
Improve Reviews + Rankings
Other

Mark all that apply

Describe your marketing goals

Describe your ideal patient?

If you have multiple patient audiences or procedures, do this for each.

What primary patient demographic would you like to target?

Men
Women
Non-Binary / Other
Under 18
19-24
25-34
35-44
45-54
55-64
65+

Choose all that apply

How would your current patients describe your practice?

If your practice were a public figure, who would you be?

I dislike brand voices that sound ___________.

Examples: arrogant, buttoned-up, authoritative

I like brand voices that sound ___________.

Examples: clever, honest, fun

Please list 5 – 10 keywords that should be used in your marketing or website content.

I want my brand to make my audience feel _______________. (If you have multiple audiences, do this for each subset.)

Examples: empowered, valued, inspired

My brand’s website or marketing material should come across as _______________. (If you have multiple audiences, do this for each subset.)

Do you currently have practice website and if so, who manages it and how often do you update content?

Do you have practice social media accounts established? If so, who manages them and how often are you posting?

Please list your practice handles or urls (@yourhandle)

What questions do you have for me?

Name

Thank you for submitting your questionnaire. We will be in touch soon!