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Blumberg Digital

Brand Discovery Questionnaire

This questionnaire is designed to help us understand your existing brand identity or your needs for creating a new one. The information you provide will serve as the foundation for the design of your website and your overall digital presence.

Takes about 3 minutes. Your answers save automatically as you type.

Contact & Practice Basics

1. Main Point of Contact *

Who should we reach out to about this project?

2. Practice Name *

How should the practice name appear on the website?

This appears on every page and should match your Google Business Profile.

3. Existing Website Optional

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

4. Google Business Profile Optional

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 Optional

Where is your practice located?

6. Phone & Open Hours Optional

The practice phone number patients should call, and your opening hours.

Practice & Services

7. Practice Type *

What type of dental practice are you?

Examples: general dentistry, cosmetic dentistry, orthodontics, pediatric dentistry, implant & oral surgery, periodontics, endodontics, multi-specialty, etc.

8. Services Offered *

Which services do you provide? Select all that apply.

Anything not listed above? One service per field.

9. Top Three Treatments *

Which three treatments should the website focus on most? These drive the homepage and SEO priority.

Select your services above first.

Rank 1
Rank 2
Rank 3

10. Languages Optional

Which languages does your practice serve patients in?

11. Primary Patient Types Optional

Who are your primary patients?

Examples: families, children, seniors, professionals, implant candidates, anxious patients, cosmetic cases, etc.

Positioning

12. What Makes Your Practice Different? *

Up to three things that genuinely set you apart.

Examples: technology, sedation options, same-day crowns, in-house lab, financing, extended hours, languages, years established, etc.

13. Main Offers Optional

Any offers you run for patients (e.g. new patient special, free consultation). These become homepage call-to-actions and landing sections.

14. Competitors Optional

Up to three practices you compare yourselves against.

Brand

Do you already have a logo and/or a complete brand identity?

15. Logo *

Please upload your existing logo.

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

16. Brand Assets Optional

Please upload any available materials related to your existing brand identity.

Examples: Brand Guidelines, Color Palette, Typography / Fonts, Business Cards, Social Media Templates, Email Signature, Printed Materials, Presentations

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

17. Colours & Typography Optional

How would you like the existing color palette to be applied?

If available, please provide your brand colors.

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

18. Additional Notes Optional

Is there anything we should preserve, avoid, or improve about your current branding? Any guidelines or restrictions our design team should know about?

Creating a New Brand Identity

*

What message or impression would you like your brand to communicate to your patients?

Optional

Are there any colors you would like to use or colors you would prefer to avoid?

Optional

Are there any logos, brands, or visual identities that you like and could serve as inspiration?

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

Optional

Is there anything else you believe our design team should know before creating your new brand identity?

Optional

Are there any specific elements, symbols, or concepts you would like to include or avoid in your logo?

Examples: initials, a tooth or smile motif, natural elements, shields, stars, abstract shapes, etc.

*

Which of our website themes do you like the most?

Content & Assets

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.

*

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

*

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

*

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.

Optional

Videos of patients sharing their experience.

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

Optional

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

Images must be of actual patients and unretouched.

Optional

Any awards, certifications, or recognitions worth showing.

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

Optional

Sponsorships, charity work, local events — tell us and share photos.

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

*

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

*

Which practice management software do you use?

Should online booking be embedded on the site?

Optional

Links to your social media profiles.

Optional

Where is your domain registered, and how should we handle DNS for launch?

Never share usernames or passwords through this form — we will arrange access securely.

Optional

Please fill in the required fields marked with *.

Thank you!

We found your earlier submission and updated it. Your answers and file(s) have been received. Our team will be in touch shortly.

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