DocLocal - 60 Second Evaluation Form

1

Have you ever consulted with a marketing advisor before?* This field is required.

Yes

No

2

Do you currently have goals you’re looking to achieve?* This field is required.

Yes

No

3

Do you have an established brand? (i.e. colors, logo, etc.)* This field is required.

Yes

No

4

How do you currently acquire new patients?* This field is required.

Referrals from other doctors

Referrals from patients

Billboards

TV/Radio

Internet

5

Who is your target audience?* This field is required.For example, a bariatric surgeon might say "a middle aged female struggling with weight loss."

6

Do you feel that your website is being used to it's fullest potential?* This field is required.

Yes

No

7

Have you ever considered Google Ads or other PPC advertising?* This field is required.

Yes

No

8

What is your monthly marketing budget?

Less than $500

$500 - $3000

$3000 or more

I'm not sure

9

I want to discuss my needs with an advisor via Zoom or phone call.* This field is required.

Yes

No

10

Website URLIf you have a website, please enter the domain here.

11

Thanks for taking our 60 Second Quiz!This assessment is not meant to replace or substitute for professional SEO advice or counsel. By providing DocLocal with your phone number, you agree to receive calls and texts from DocLocal.

First Name

Last Name

Phone

Email