Your Marketing

1. I work in a dental practice with (number of) doctors and (number of) other team members.
2. I have promoted my practice through various marketing efforts?  Yes   No
3. I have a strategic marketing plan from which I am working.  Yes   No

For questions 4-12, please rate your perceived success and effectiveness in the areas described from 1-5 per this scale:

0 = Idon't know
1 = very poor/embarrassing
2 = poor
3 = could use improvement, but it's not too bad
4 = it's good
5 = it's great/exemplary
X = not applicable

Rating
4. Logo
*
5. Web site
*
6. Conversion of Web site visitors to patients
*
7. New Patient Kit
*
8. In-Office Clinical Photography (Extraoral)
*
9. Consistency of your marketing materials: do you have the same look, feel and message for all of your marketing materials and advertisements. (Brochure, web site, business cards, health forms, advertisements, etc.)
*
10. Internal marketing
*
11. Phone skills
*
12. Case presentation skills
*
13. New Patient Experience
*
14. Cosmetic Patient Experience
*
15. External advertising
*
Comments:
Your Name: *
Practice/Company Name:
Address 1:
Address 2:
City:
State:
Zip:
Phone: *
Email: *
Fax:




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