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Clinic Intake Form x Goose Creative
First Name
*
Last Name
*
Email
*
Clinic Name
*
Clinic's Instagram Username (e.g.,@goosecreative_)
*
Where are you coming from?
*
Where are you coming from?
A
Instagram Ad
B
Referral
C
Other
What is your current role?
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What is your current role?
A
Clinic Owner & RN
B
Part of Team
C
other
How long have you been in the aesthetic industry?
*
How long have you been in the aesthetic industry?
A
Less than 2 years
B
2-5 years
C
5-10 years
D
More than 10 years
*
Are you currently creating content for your clinic?
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Are you currently creating content for your clinic?
A
Yep I love creating content everyday
B
I am creating but takes too much time and effort and sometimes burnout
C
No, I don't know what to post really. I think I would need help in that area
How many team-members do you have in clinic?
*
How many team-members do you have in clinic?
A
Currently it’s only me
B
1
C
2
D
3 or more than 3
Are you the primary decision-maker for business development in your clinic?
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Are you the primary decision-maker for business development in your clinic?
A
Yes
B
Shared Responsibility
What is the primary bottleneck in your clinic that you’re looking to solve right now?
*
What made you feel that now is the right time to invest in marketing for your clinic?
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Do you believe that investing in your brand will help you grow long-term and attract a good customer base?
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Do you believe that investing in your brand will help you grow long-term and attract a good customer base?
A
Yep, I agree 100%
B
No, I don't think so
Have you worked with a marketer or agency before? If so, how did it go, and how much did that cost you?
*
What stood out to you most about Goose Creative?
*
What monthly investment are you comfortable allocating to your clinic’s marketing?
*
We’ve provided a few options to help us understand whether your
ideal investment is.
Every clinic’s ideal investment is different, and this helps us determine whether we can help you at a level that makes sense for you.
What monthly investment are you comfortable allocating to your clinic’s marketing?
A
$800 – $1,000
B
$1,000 – $1,500
C
$1,500 – 1,800
D
$1,800 – $2,000
E
$2,500+
Submit
