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Blumberg Digital

Implant Funnel Discovery Questionnaire

This questionnaire helps us understand your practice and your implant offer so we can build your funnel around it.

Contact & Practice Basics

1. Main Point of Contact *

Who should we reach out to about this project?

Sent! Check your inbox for your personal link.

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2. Practice Name *

How should the practice name appear on the landing page?

This appears throughout the landing page and should match your Google Business Profile.

3. Existing Website *

If you already have a website, what is its address?

4. Google Business Profile *

Link to your Google Business Profile (or the Google Maps listing of your practice).

This helps us keep your name, address, and reviews consistent everywhere.

5. Locations *

Where is your practice located?

6. Phone & Office Hours *

The phone number patients should call, and your office hours.

Positioning

7. What Makes Your Practice Different from Other Implant Providers? *

Up to three things that genuinely set you apart.

Examples: same-day implants, in-house CBCT, sedation, years placing implants.

8. Consultation *

The consultation offer the funnel drives patients to book.

The promo line, the name, or however you describe it.

What it would normally cost.

What the patient actually pays.

9. Implant Competitors *

Two or three practices you compare yourselves against for implants.

Content, Photos & Files

Everything in this section can be gathered at your own pace. Your progress is saved, and you can return with the same link at any time.

Not sure how to shoot the photos and videos? Download our Practice Photo & Video Checklist.

10. Doctor Profiles *

One profile per doctor. Please fill the fields rather than uploading a document.

11. Team Members

The rest of the team: hygienists, assistants, front desk.

12. Practice Photos

Photos of your practice: interior, exterior, signage, technology.

Your files are stored securely, used only to design your website, and never shared with third parties.

13. Patient Testimonial Videos

Videos of patients sharing their experience.

Your files are stored securely, used only to design your website, and never shared with third parties.

14. Before & After Cases

One case per entry: the treatment it shows, plus the before and after images.

Images must be of actual patients and unretouched.

15. Awards & Recognitions

Any awards, certifications, or recognitions worth showing.

Your files are stored securely, used only to design your website, and never shared with third parties.

16. Financing & Payment *

Which payment options, insurance plans, and financing do you offer?

17. Online Booking *

Do you want patients to book appointments directly on your landing page?

Growth & Marketing

18. Current Implant Cases Per Month *

Roughly how many implant cases does the practice place each month right now?

19. Implant Case Targets *

How many implant cases a month are you aiming for in 3 and 6 months?

20. Marketing Channels *

Which marketing channels are you using right now?

21. Marketing Company *

Which company are you using for your marketing?

22. Tracking Tools

Do you already have any of these set up? Tick the ones you have.

23. SEO Work

Has anyone done SEO work on your website before?

24. Anything Else We Should Know?

Please fill in the required fields marked with *.