Practice Name(Required) Primary Contact Name(Required) Primary Contact Email(Required) Website Does Gargle manage your website?(Required)NoYesYes, It is in the process of being built at GarglePlease confirm the phone number your ads should be directed to.(Required)Please confirm the email address the lead submission should be sent to.(Required) How many patients do you wish to aquire each month through our Facebook and Instagram Ad efforts?(Required)How much is your past, current or expected CPA (cost per aquisition) using Social Ads for a new patient?(Required)What is the average first year value of a new patient in your practice (in dollars)?(Required)Do you have both a Facebook and an Instagram set up for your practice?(Required)YesNoOnly FacebookOnly InstagramHave you run Facebook ads before?(Required)YesNoIm not sure.Are you marked as an Admin on the Meta Business Account?(Required)YesNoIm not sure.Gargle usually sets up ads targeting a 10 mile radius from your office location. Do you have other areas you wish us to run ads for that are different from that?(Required)YesNoIf you marked yes, which areas would you like to target?Please describe any special offers or services you wish to promote with your ad campaigns.What is your desired monthly social ad budget per month?(Required)$250 Minimum budget for more Brand Awareness focused.$500 Minimum budget for more Lead Generation focused.$750$1000$1500OtherAre there any other valuable things for us to know about running your social ads?
