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Dunn Education Digital Marketing Application
Please fill out all questions completely. If you any have questions, please contact support@dunneducation.com.
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First Name
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Your answer
Last Name
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Your answer
Practice Name
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Your answer
Office Street Address
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Your answer
City
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Your answer
State/Province
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Your answer
Zip/Postal Code
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Your answer
Number of locations?
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Your answer
Website
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Your answer
Email (an email address YOU actually check)
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Your answer
Cell phone (please put a number you actually answer/use)
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Your answer
Current website company?
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Your answer
Is your current website company running digital ads on platforms such as Google, Facebook, Instagram, etc.? If “Yes”, what are they doing and how is it going?
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Your answer
If you are not currently running digital ads, have you done so previously? How did it go? What made you stop?
Your answer
What is your follow up process for online leads?
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Your answer
Do you offer new patients a method to schedule online? If “Yes”, what do you use?
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Your answer
Any other background information that you feel would be helpful?
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Your answer
Are you a partner, employee, consultant or otherwise have a financial interest in a DSO or OSO?
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Yes
No
Who do you consider your main competitors? Please provide their website and any pertinent information.
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