Question 1: Team & Communication

Does your practice have at least one Spanish-speaking team member available to assist patients?

Yes

Somewhat or only during limited hours

Question 2

Can Spanish-speaking patients comfortably communicate with your office by phone, text, or online form?

Yes

Through some channels only

Question 3

Can your team clearly explain procedures, treatment plans, insurance, and payment options in Spanish?

Yes

For some services

Question 4 (Online Visibility)

Does your website include professionally written Spanish-language content?

Yes

A small amount or automated translation

Question 5

Does your Google Business Profile clearly state that your practice provides bilingual or Spanish-language care?

Yes

It is mentioned but not optimized

Question 6

Can patients find your practice when searching in Spanish for dental services in your area?

Yes

We are not sure

Question 7

Does your practice regularly publish Spanish or bilingual content on social media?

Yes

Occasionally

Question 8 (Marketing Readiness)

Are you currently running campaigns specifically designed to attract Spanish-speaking patients?

Yes

We have tried a few campaigns

Question 9

Do your Spanish-language campaigns use culturally relevant messaging instead of direct word-for-word translation?

Yes

Sometimes

Question 10

Do you have a dedicated Spanish landing page or Spanish patient journey?

Yes

We have limited Spanish information

Question 11

Do you use Spanish-language videos, testimonials, FAQs, or educational content?

Yes

Occasionally

Question 12 (Patient Experience & Growth)

Are appointment reminders, follow-up messages, and important patient information available in Spanish?

Yes

Some are available

Question 13

Does your team consistently follow up with new leads within five minutes during business hours?

Yes

Usually within the same day

No consistent process

Question 14

Do you track which marketing sources generate Spanish-speaking appointments and completed treatments?

Yes

We track some information

Question 15

Does your practice currently have the capacity and budget to accept and market to additional patients?

Yes

We track some information

Your Current Marketing Investment

Your Growth Timeline

When would you like to begin attracting more Spanish-speaking patients?

Immediately

Within 30 days

Within 60–90 days

I am researching options

Your Level of Support

Are you open to hiring an agency to implement the strategy?

Immediately

Possibly, depending on the solution

Not at this time

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First Name

Last Name

Email *

Phone *

Dental Practice Name:

Website

City

State

Number of Locations:

Role in Practice:

Your Growth Priorities

Your Current Marketing Investment

Your Growth Timeline

Your Level of Support

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