Submit Your Design Questionnaire to Postcard Design

Who Are You?

We need to understand your practice, and what makes it unique.

Practice Name*

Primary Contact Name

Primary Contact Phone

Primary Contact Cell Phone

Primary Contact Email

Practice Mailing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Practice Physical Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Account Billing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Practice Phone

Practice Email

Practice Management System

Office Hours

Website Address

Names and Titles of Dental Team (Dr, Hygienist, Assistants, Team Members)

Additional Contact Notes and Details

What is the emphasis of your practice?

Select all that apply by holding down the "shift" or "control" key while choosing.

Logo File

If you have one, please upload a high resolution image of your logo.

Max. file size: 10 MB.

In your opinion, why should a patient choose you over the competitors?

What additional features do you feel make your practice unique?

Has your practice received any local awards or community recognition?

If so, what are they?

Who are your patients?

We need to understand the needs and characteristics of your ideal patients.

How do your patients pay for treatment?

In your opinion, what is the demographics of your current patients?

Income level? Family structure? Ethnicities?

Additional Notes on patient base and desired patient characteristics:

Card Design, Messaging and Offers

New Move In Templates Selection

Click here to view available templates.

What is the preferred color palette for your card design?

New Move In Testimonial for Card

Please give us one 5-star review to display on your card. Required for all New Move In postcards.

New Move In Practice Info Message for Card

There is a message from the doctor on the back of each card. Would you like the messaging to be from the doctor, dental team, or both? Required for all New Move In postcards.

New Move In Special Offer for Card Certificate

Please provide the details of the offer you wish to display on the card. Include exact pricing and expiration (if applicable). Required for all New Move In postcards.

Is there any additional messaging you would like to use in your postcard campaign?

Additonal design notes and requests:

Based on your answers to the previous questions, we can recommend marketing messaging for your practice, as well as offers that should generate good results. However, if there are any specific messages or offers you’d like considered to be used on the card, please list them here.

Do you have doctor, staff or office photos to be considered for your card?

Typically we do one of the doctor(s), doctor's family, or team. Please attach high quality image & Logo. Make sure that all images are hi-res, print-quality images. Required for all New Move In postcards.

Yes, I'll send them to you right away or upload them below.
Not yet, but we plan on getting some taken soon.
No, and we will not be getting any taken soon.

Upload Image Files Here

Please make sure ALL photos are high resolution.

Drop files here or

Accepted file types: jpg, gif, png, pdf, Max. file size: 10 MB.

Gargle Client Tools

Submit Your Design Questionnaire to Postcard Design

DentalMarketing.net Full Service and New Move In Card Design Questionnaire

Who Are You?

Who are your patients?

Card Design, Messaging and Offers