FREE Assessment Form Please enable JavaScript in your browser to complete this form. - Step 1 of 5Welcome to our interactive assessment form.Please fill out our FREE assessment form to get a better understanding of your website, software, and marketing needs. At the end of this assessment, you will be presented with a full marketing report and analytics.Clinic statement * DisagreeNeutralAgree Gaining new patients is my #1 goalDisagreeGaining new patients is my #1 goal DisagreeNeutralGaining new patients is my #1 goal NeutralAgreeGaining new patients is my #1 goal AgreeMy clinic would benefit with a new, simplified and integrated software systemDisagreeMy clinic would benefit with a new, simplified and integrated software system DisagreeNeutralMy clinic would benefit with a new, simplified and integrated software system NeutralAgreeMy clinic would benefit with a new, simplified and integrated software system AgreeMy website is outdated and I need helpDisagreeMy website is outdated and I need help DisagreeNeutralMy website is outdated and I need help NeutralAgreeMy website is outdated and I need help AgreeMy social media presence needs helpDisagreeMy social media presence needs help DisagreeNeutralMy social media presence needs help NeutralAgreeMy social media presence needs help AgreeI would like to expand my business beyond my current locationDisagreeI would like to expand my business beyond my current location DisagreeNeutralI would like to expand my business beyond my current location NeutralAgreeI would like to expand my business beyond my current location Agree NextMarketing AssessmentI currently pay for: *Google Ads (PPC)Search Engine Optimization (SEO)Social Media AdsI'm currently happy with my marketing *YesNoNot applicableI've been doing marketing for: *Under 1 yearOver 3 yearsNot ApplicableNextWebsite AssessmentI currently have a website *Yes and I love itYes but needs workI don't have a websiteMy current website is built on: *WordPressAnother platformNot applicableMy website generate leads *Yes and it goes to my EHR/CRMYes and it goes to my e-mailNo, it does not generate leadsNot ApplicableNextSoftware AssessmentI current have an EHR/EMR system *Yes and I love itYes but I don't like itI don't have a systemMy current system is easy to use *YesNoNot applicableMy current system needs more features *Yes, we are missing functionalitiesNo, we have all we needNot ApplicableNextAlmost done!Please let us know who you are so we can send the assessment to the right place.Name *FirstLastEmail *PhoneNext
