Renewal Theme Site Questionnaire

We are glad you are choosing to partner with Firm Media for another year! As an extension of your practice, we would like to take this time to touch base on any changes that may have occurred in your practice throughout this past year to be sure our information is as up-to-date as possible. This questionnaire will allow us to also gain further insight into what you are looking for with your new website.

Step 1 of 3

1. Have there been any changes in staffing? (Doctors or Team Members)*

2. Have you started offering or discontinued any procedures?*

3. Have you seen changes in trends of any services that you offer? (Services that are becoming more or less popular)*

4. Have you seen any changes in the demographics of your patient base? (age, gender, ethnicity, income, etc.)*

5. Have you added any new technology in your office? If so, what treatment does this new technology help advance? Tell us about it.*

6. Have there been any changes to your credentials, certifications or society memberships?*

7. Have you written or contributed to any medical publications or been featured in the media or podcasts this year?*

8. Have you received any accolades, awards or recognition locally or through any of the professional societies you are affiliated with?*

9. Have you received any handwritten patient reviews or cards that can be featured on your website?*

10. Is there any other additional information that you would like us to be aware of?*

(Please do not close your current browser to prevent loss of completed answers.)

Brand Positioning

11. What is your practice's Mission Statement? (Why do you do what you do?)*

12. What is the promise your brand provides patients? How will your practice deliver on that promise?*

13. How would you like to be perceived through your website by potential patients/customers?*

(Trusting and caring, innovative and technology driven, friendly and compassionate, etc.)

14. What problems does your practice solve for your patients?*

(What are your patients' pain points? Ex: Convenience, Specific Technology, Comfort)

(Please do not close your current browser to prevent loss of completed answers.)

WEBSITE DESIGN

15. Which theme option would you like to choose for your practice? (Click Links to Preview each Theme)*

Theme Option 1: https://themeoptions1.fmbuildr.com

Theme Option 2: https://themeoptions2.fmbuildr.com

Theme Option 3: https://themeoptions3.fmbuildr.com

16. What colors would you like to use on your website?*

Renewal Theme Site Questionnaire

Brand Positioning

WEBSITE DESIGN

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Renewal Theme Site Questionnaire

Brand Positioning

WEBSITE DESIGN

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