Practice Rebrand Survey

To get your practice rebrand rolling and to help us understand your practice, including location, competition, patient demographics as well as your branding vision and practice personality, please complete this survey.

TIME REQUIRED: The survey typically takes approximately 30 minutes to 1 hour to complete.

IMPORTANT: If your browser times out or you forget to hit SUBMIT at the bottom of the survey, you may lose your work. When your submission is successful, you will see a thank you message on the screen.

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PHOTOGRAPHY: One of the sections below is a request to provide photography in zipped folders. Preparing in advance is suggested.

Practice Details & Contact Person

First & Last Name + Position *

Email *

Practice Name *

Practice Website URL *

Years in Business in your Community *

Number of Orthodontists at your practice *

Number of Team Members at your practice

Location & Landmarks

In this section, please provide information about the geographic location of your practice along with any significant landmarks, streets, etc., that might be used when you describe your location to a new patient.

Country *

Canada

United States

City / Town *

Province / State *

Neighbourhoods
What neighbourhoods / areas / communities do you serve? (ie. downtown, west, etc.) *

What is the geographic radius your clients come from? (ie. how far from your practice) *

Landmarks
Are there any well-known landmarks nearby? And if, yes, approximately how far? (eg. parks, rivers, attractions, shopping plazas etc.) *

Intersections
Are there any big street intersections nearby? (ie. corner of X Street and X Avenue) *

Other
What other local geographic identifies might you use in describing your location? *

Do you have a motto, tagline or catchphrase that you use with with your practice name? *

Competition & USPs

In this section, we would like to understand what makes your practice stand out from the competition.

Competition
Competitor #1 (Name and/or Website URL) *

Competitor #2 (Name and/or Website URL) *

Competitor #3 (Name and/or Website URL) *

Other Competitors - Please list

What are your Unique Selling Propositions (USP)? What Makes Your Practice Different?

USP #1 *

USP #2 *

USP #3 *

What else is unique about your practice... or something you do better than your local competitors? *

Do you provide services in languages other than English? If yes, please provide details. *

What are your top referral sources?

Patient Demographics

We like to understand your current target audience, as well as any new demographics your practice is focussing on.

Children (Early Intervention)
What percentage of your patients are children (0-12 years)? *

Teens
What percentage of your patients are teens (12-18 years)? *

Adults
What percentage of your patients are adults (19-60 years)? *

Mature / Senior Adults
What percentage of your patients are seniors (60+ years)? *

Gender
Is there any significant gender skewing at your practice? If yes, please provide details.

Ethnicities
Is there anything we should note in terms of ethnic diversity in your patients? (Caucasian, South Asian, Chinese, Black, Latino, etc.)

Existing Vendors

Do you currently have a website vendor? *

Yes

Unsure

Do you have an SEO partner? *

Yes

Unsure

Do you have any contracts with any marketing agencies? *

Yes

Unsure

If yes, who is the agency and what do they do for your practice?

Current Website

Is the information on your current website accurate? *

Yes

Partially

We don't have a website

Branding Vision

As part of the rebrand process, you will be getting a new practice name, logo, and collateral. This section, will help inform the design strategy.

Which of the following are you most aligned with? *

If explore options, please explain why.

Logo
Do you have a vision for your new logo (symbols or elements, eg. location identifier, tooth, brace) *

Palette
Do you want to keep any or all existing colours. Do you have any new colours in mind? *

Describe your desired style (Check all that apply): *

Traditional

Modern

Fun

A mix

Other

If a mix or other, please specify:

Practice Personality

Successful branding reflects the personality of a business. Please help us understand how you see your practice.

Philosophy of Care
How would you end this sentence: Our orthodontic care philosophy is... *

Practice Personality
How would you end this sentence: Our practice is... *

Practice Feeling
How would you end this sentence: Our orthodontic team will help you and your family to feel... *

Does your team prefer to use emotive language or objective language? * *

Emotive

Objective

A balance of both

No preference

What do you believe your community reputation is? or How does your community identify you by? *

What else would you like us to know about your practice personality? *

Patient Communications

Are you currently using Ortho2 to send out email communications? *

Yes

Social Media

Would you say your practice is social media savy? *

If you have social media accounts, Please provide the links below.
Facebook

Instagram

YouTube

Other

Is there anything else you would like us to know before we start on your practice rebrand?

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