Website Questionnaire

You know your business, we know dental marketing – let’s work together to create something awesome!

Web Design Getting Started Questionnaire

Welcome to the website questionniare. In the next 30 minutes or so you'll give us all of the information we need to make you an amazing website that is better than all of your competitors. Please take the time to fill this form out in as much detail as possible - what you put into it is what you will get out of! Please note that this form might not save. If you don't complete the form in one sitting, submit what you have done, and then come back and finish the rest as soon as possible. 

Part 1 - Getting Started
Nameyour full name
Clinic Name
Website URL
Point of Contact Name
Contacts Phone #

If you know your domain registrar stuff you can enter it below, if not, start looking into it!

Domain RegistrarGo Daddy,, Enom etc.
Registrar Username
Registrar Password
Part 2 - About Your Business

Tell me a bit about your current customers. What about the types of customers you are trying to attract? (Gender, Age, Household Income, Relationship Status, etc)

Audience Notes
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Tell me a bit about your customers preferences...

Product / Service Quality

Your target audience has a list of BUYING CRITERIA that needs to be satisfied before they choose their new dentist. What pieces of information are your audience looking for?Ex: If you direct bill insurance, proximity, service offerings, technology, quality, parking, transit...

What are all the things your customers care about when it comes to choosing a dentist, and why should someone choose you instead of your competitor?

Buying Criteria
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Similar to the last, what are 4 things that you can brag about, that your competitors cant? (These are called differentiation factors or proof points) Ex: 150 5 star reviews, 25 years in business, awarded best dentist in the city, 25% more CE credits than required, professor at the university....Why should someone choose YOU?!

Proof Points
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Part 3 - Services & Equipment

In this section I need to know everything you do! Check off all of the boxes below. If you offer any services not on the list make sure you add it in the comments. 

General DentistryCheck all that apply
Cosmetic DentistryCheck all that apply
Restorative DentistryCheck all that apply
What kind of fillings do you provide?
Dental Surgeries + MoreCheck all that apply
What other services do you offer that are not on the above list?
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Do you use any high tech equipment for diagnosis or treatments?
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Part 4 - Your New Website

We need to make sure your new website is better than your competitors. List 3-5 competitors close to your office. 

Competitor Websitespaste in their URL
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List a few websites that you love the look and feel of. Outline what you like and dislike about the inspiration sites. 

Inspiration Sites
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Outline what you NEED on your new website and some things on the wishlist that would be nice to have.

New Website Requirements
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What are your company colors, font's, and branding components?
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Upload your logo in .PNG or .AI format


Upload your logo in any other formats that you have

I want my new website to be

Please upload any headshots, office images, before and after cases, or any other images you feel would help the design of your site. 

Part 5 - Content
In 250 words or more please tell us about your office
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Please provide a bio for each dentist
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If you have any YouTube videos, please place the links here
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Please paste some patient testimonials here
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What is your mission statement?
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Contact Us PagePlease provide all of the content you wish to display on the contact page.
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Office PoliciesPlease provide any office policies customers should know about
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Please upload your New Patient Intake form below. 

If you think we might be missing something, here is the place to put ANY INFORMATION that you have not provided us above.
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CommentsAny comments, questions, or requests for us?
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