Questionnaire - Webclinico

Questionnaire Google Search + Web

First Name

Last Name

Phone Number

Email Address

Practice Name ( if Available )

Practice Contact Number ( If Available )

Business Email ( if Available )

Business Address ( if Available )

Current Website URL (applicable if you have a live business website)

Enter Your Existing Domain Here ( If Available )

Enter Your Required Domain Name For Your New Website ( If changed from previous one )

Social Media Handles URL (Those you would like to connect to your website)

Please describe about your Clinic Practice areas as detailed as you can

Competitors In Your Space ( Enter Website Address If Any )

Best 3 Website Url You Most Like In Your Business Space

Do you have a high-resolution logo ?

What fonts do you typically use ( If You Want Specific One )

Your EMR/EHR link here

Your business Google Profile ( If already have one)

How many Locations You have

Address of Your Location

Address Line 1

Address Line 2

City

State

Zip Code

Country

Location Phone Number

Please mention your hours of working

If there is anything else that you would like to share with us, feel free to write down below