Marketing Questionnaire

Please fill out the form below with monthly data so NK Media can assess the marketing results.

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KDC Monthly Feedback

Please fill out the form below each month so that NK Media can assess the quality of results. 

Reception Nameyour full name
Month / YrURL
How many new patient inquiries did you get this month?URL
How many of those inquiries were from Google or Online?URL
How many of the Google patients booked in for an appointment or consult?URL
How many were general patients?URL
How many were cosmetic patients?URL
How much revenue did you generate from Google / Online Patients this month?URL
How many total new patients were there this month?URL
What was this month's revenue?URL

Please upload any referral reports using the upload function below. If you have multiple files, please ZIP the files and only upload ONE file.

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