PPC Questionnaire
Welcome to O360 Impact Marketing program. Please complete the form below at your convenience. Your marketing program will be set up and activated even if we don't receive this form, but, knowing more details will help us better strategize for your campaign. Answer to the best of your knowledge, but, don't worry if you are not sure. We do our own research either way.
Your Name
*
Domain
*
Your website address
Main Location
If multiple locations, which one is the main one?
Target Location
Cities or areas to target
Specialty & 4 Top Services To Advertise
Top Services
Exclusions
Are there any services you do NOT want to promote?
Standing Out
Please list anything that differentiates you from the competition. This information will be used in postings, ad copies and other text across the web when you and your practice is mentioned. Please don't be reserved. Even small achievements count.
What is unique about you?
Technology, Attitude, Policies...
Achievements
Awards, memberships, certificates, CE courses...
Max 3 locations
About Your Practice
Help us better understand your practice.
Office Location Type
Downtown Professional Building
Suburbs Professional Building
Shopping Center or Free-Standing
Small Town or Rural Area Office
Basic Office, Low income neighborhood
How would you describe your practice?
High-End, Cutting Edge, Costly, Low Volume
Academic, Highly Specialized, Referral based
Middle Class Appeal, Accessible Team, Comfortable Office
Discounted Service, High Volume, Very Busy
Small practice, family feel, first name basis
Other
Top two patient coverages
Cash Patients
PPO
HMO
Medicare
Union and Contracts
Other
Years in Business
Brand New Practice
Established Practice
Two Generations of Doctors
New Owner Transition
Other
Number of Doctors
Single Doctor
2-4 Doctors
Over 5 Doctors
Other
Team Size (staff only)
1-3
4-6
Above 6
Office Hours
Demographic Data
The information below is only used to include content or images that may be relevant to your area's population.
Ethnicity
Caucasian
Hispanic
Asian
African American
Other
Age Group
Children
Teen
Adults
Elderly
Other
Socio-Economic
Retired, Laidback
Working Class
Business Professionals
Upscale and Trendy
Other
Promotions
List any promotions you are willing to offer. The most successful promotions are usually not procedure-related but cover the initial appointment. For example: free consults, complementary second opinions, new patient specials.
Promotions
PPC Monthly Ad Budget
Please confirm the monthly ad budget you would like to allocate for your Google ads. This is NOT the total amount paid for your marketing. This does NOT include your total investment with us or SEO program. This is the amount we discussed separately and will be paid to Google directly.The amount can be changed each month. But, please note any change request MUST be in writing and you must receive an email confirmation for it to be valid. This is only to prevent any miscommunications resulting in an additional payment to Google which is not refundable.
Monthly Ad Budget
PPC clients only
Would you like to provide your own ad copy?
No, complete this on my behalf.
Yes
Ad Copy
If you would like to write a copy of your ad or like to include specific wording, you can use the section below. Our copywriters and PPC specialist will review your input and contact you with any potential issue. If you prefer or like us to do it for you, that is part of the service and our copywriters will take care of it.
Ad Title - Section 1
30 Character Limit (By Google)
Ad Title - Section 2
30 Character Limit (By Google)
Ad Title - Section 3
30 Character Limit (By Google)
Ad Text - Section 1
Limited by Google
0/90
Ad Text - Section 2
Limited by Google
0/90
Past or Existing Marketing Material
Upload any related marketing pieces such as brochures, postcards, ads, letters or previous ad copy will be helpful. Especially those that have been successful and/or preferred by you.
Choose Your File(s)
Upload a File
Cancel
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The Process
To speed up the process and prevent delays and gaps in creating ads (PPC), selecting keywords, or writing articles and content for the site (SEO) we add content and activate campaigns and ads based on our experience and your responses to the above questions. If you have any specific questions about this process, please discuss that with your marketing coordinator
Comments
Please share any other comments, or feedback here
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