Renewal Questionnaire

We are glad you are choosing to partner with Firm Media for another year! We would like to take this time to touch base on any changes that may have occurred in your practice throughout this past year. As an extension of your practice, we aim to keep your website as up-to-date as possible and can help make reflect these changes throughout your campaign.

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?*

Renewal Questionnaire

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Renewal Questionnaire

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