Office Name(Required) Name: First Last Please list any additional office contacts that will be working with Gargle and their email and phone numbers (leave this question blank if you don't have any).Please select any of the following goals that you want Gargle to help you achieve? Increase overall new patient count Growing production revenue Targeting more specific procedures Establishing a better brand in the community Maintaining consistent practice growth Filling the schedule for a new associate and/or practice location Are there any other Gargle products that you didn't sign up for that you'd like additional information about on your welcome call? Website/SEO Online Ads Google Reviews Social Media Content and Posting Online scheduling, online forms, or patient communication (2-way texting, etc.) Branding Services - Logo Design / Marketing Collateral Design, Dental Direct Mail Postcards / New Move-In Mailers Are you currently trying to hiring an Associate doctor? Or looking/wanting to hire one in the future to help your practice grow? Yes No Are you considering selling, acquiring, or moving to a new location in the next year? Yes No Why are you leaving your current provider?(Required)What do you like about the specific marketing services you have used before coming to Gargle?(Required)What do you dislike about the specific marketing services you have used before Gargle?(Required)What is your need or expectation timeline for Gargle to fulfill your new services?(Required)
