Intelligent Dental Marketing

Which marketing tools are best for your practice?

Learn More

Demographics
Direct Mail
Logo Design
Marketing Folders
On-hold Marketing
Patient Rewards
Print Ads
Referral Brochure
Response Tracking
Smile Art
Treatment PRO
Website Development
Website SEO

Seminars In Your City
Webinars Online
Workshops In Utah

Marketing Needs Analysis (no charge)

This complimentary Marketing Needs Analysis will help our marketing team determine which
strategies and tactics might best help your dental practice. This information is also important as
we help you determine the offers, graphic design, content, budget and overall marketing objectives.
If you have not yet discussed your marketing needs with ADA Intelligent Dental Marketing, feel free
to complete this form and a marketing coach will contact you a soon as possible.

What makes your dental practice unique?

Glamorous Facility	Elite Dental Team
Exceptional Customer Service	Superior Credentials
More Affordable than Most Dentists	Dentistry for the Entire Family
Weekend or Extended Hours	Implant Specialization
Locally Famous	Exclusive Clientele
High Tech Dentistry	Cosmetic Oriented
Excellent Location	Holistic / Natural Healthcare
Sedation Dentistry	Easy Payment Terms
Conservative Dentistry	Aggressive Marketing Offers
More Expensive than Most Dentists	Other

	Describe a single quality that makes your practice unique?

Your Name and Logo
Our practice has a name other than the name of the dentist	yes	no
We have a quality practice logo	yes	no
Our logo consistently appears on all marketing materials	yes	no
We have outside signage that attracts attention	yes	no
We have a quality dental website	yes	no
We promote our website on all marketing materials	yes	no
External Marketing
We are currently advertising our practice in some form	yes	no
We currently advertise with direct mail	yes	no
We currently advertise in the phone directory	yes	no
We currently advertise on radio or television	yes	no
We currently advertise in magazines or newspapers	yes	no
We currently advertise through local businesses	yes	no
Internal Marketing
We ask our patients for referrals	yes	no
We have a formal referral program	yes	no
We consistently utilize a referral brochure	yes	no
We consistently reward patients who refer friends and family	yes	no
We have an on-hold message that promotes our practice	yes	no
The majority of our smile art promotes dental care	yes	no
We consistently collect patient e-mail addresses	yes	no
We communicate with our patients through e-mail	yes	no
We currently send our patients a practice newsletter	yes	no
We conduct patient surveys through the mail	yes	no
Case Acceptance
We have purchased a case presentation system	yes	no
We consistently use our case presentation system	yes	no
Our entire team is skilled in effective case presentation	yes	no
Our case acceptance percentage is high	yes	no
We give patients the choice to upgrade treatment	yes	no
Patients leave with a personalized, full-color treatment plan	yes	no
We consult with each patient on cosmetic options	yes	no
We offer multiple payment options to every patient	yes	no
General
Our entire team dresses in matching, professional attire	yes	no
Each member of our team has white, straight teeth	yes	no
We keep an accurate monthly count of new patients	yes	no
We maintain convenient hours of operation	yes	no
We utilize an answering machine or service during lunch	yes	no
A team member answers the phone Monday through Friday	yes	no
Our office furniture and decor are of exceptional quality	yes	no
We utilize state-of-the-art dental technology	yes	no
The building we occupy is attractive and professional	yes	no

	Existing Patients
	We see approximately this many new patients each month
	The age of our patient base is mostly made up of…
	The dental insurance coverage of our patient is mostly…
	The size of our active patient base is
	The ethnic makeup of our practice is mostly
	Prospective Patients
	We would like to see this many additional patients each month
	We would like to increase our patient base with mostly…
	Within 3 miles of our practice the ethnic makeup is mostly…
	The area within 3 miles of our practice mostly consists of…
	Within 3 miles of our practice the economic status is mostly…

	Describe past marketing successes or failures.

	Practice Name
	Contact Name
	email Address
	Website
	Phone
	Address
	Referred by

	How soon will you be starting your marketing campaign?	If other:
	Do you have a marketing budget?
	Who is your ADAIDM Contact?
	Best time to contact you?	Which time zone
	Click here when finisheddd