Sales Questionnaire Form Please enable JavaScript in your browser to complete this form. - Step 1 of 3About Sales PersonSales Rep Full Name *Sales Rep E-mail *About ClientFull Name *FirstLastCompany's Name *Full Clinic or company's nameEmail *Business or personal e-mailPhone *Best number to be reachedNextClient's RequestsHow many locations do you have/want to target? Including satellite locations *Enter a totalDo you have any plans to expand in the next 12-24 months? If so what are they? *YesNoIf you could pick two procedures to own market share for, what would they be? *List all procedures divided by a comma,How many domains/URLs do you own relating to your business? Please list them here *Please enter one per lineWhat functionalities do you want for you website? *None, I will use my current websitePayment integrationSchedulerAutomated Text/email appointment remindersReview linksReview filter systemVideo embeddingCustomized Pop-upsE-commerce storeCurated stock photo selectionInteractive galleriesBlogsEvents/specials calendarChat bot pop upCall Tracking* Choose all that applies. You may choose multiple options.NextMarketing Questionnaire How are you currently getting reviews from your patients? *Enter name of review website or directoryDo you have an active google my business page for your main and satellite locations? *YesNoWhich channels are you currently using for patient generation? SEO, PPC, Instagram, Facebook? *List all channels divided by a comma,What is your current budget for SEO/PPC/Social channels per month? *Enter a total for all channels combinedDo you know your current Client value? (Average dollar value per client generated) *EstimatedDo you know your cost per client for acquisition? *EstimatedHow many patients are you currently generating per month through your existing marketing efforts? *EstimatedHow many patients would you like to be generating in 6 months? *EstimatedWhat is your two-year goal for your practice? *EstimatedWho is your biggest local and regional competition? *Please enter one per lineWhat websites do you admire & why? *Please enter one per line*Important*For those clients who insist on keeping existing websites (Not recommended), we must acquire backend credentials first and evaluate the quality of the site to set realistic expectations for digital marketing efforts, or determine how much work is required to clean up the back end and factor that into locking a minimum subscription requirement (i.e. 12mths).Submit ** If you have any questions or need help filling out this form, please contact Practice Bytes.
