PBHS Launch Survey Questionnaire | Reputation Management for Dentists

Launch Survey Questionnaire

Please fill out this form with all relevant information to assist us with the Launch Survey setup for your website. We will get back to you upon receipt of this questionnaire!

Doctor Name(s)*
Please include ALL doctors on this account.
Date (MM/DD/YYYY)
Date Format: MM slash DD slash YYYY
Website URL
example: www.mywebsite.com or www.pbhs.com
Contact E-mail Address*
If PBHS Support has any questions, we would like to use this e-mail to communicate.

Creating Launch Survey
Thank you for your recent purchase of Launch Survey! We are excited to begin designing your new patient testimonial system. Located on the next page are a few questions that will help us customize your satisfaction survey. Please take a moment to fill out this questionnaire. Feel free to contact us at 888-840-0739 with any questions!
Special note for our Canadian clients:

According to The College of Dental Surgeons of British Columbia, if you reside in certain provinces, testimonials are not legally permitted to be posted on your website. Before proceeding, please verify this product will work well for you!
Click the "Next" button to continue!

Facebook Account Setup
You will need the following if you wish to propagate your reviews socially on Facebook:
1. You will need a business Facebook Page.
2. You will need to set up your PBHS Social Connect with your Business Facebook Page AFTER completion of your Launch Survey.

Promoting Third Party Reviews
With Launch Survey’s Reputation Monitoring, you can keep track of your reputation all across the Web.

Launch Survey can now integrate all your reviews from sites like Yelp and Google into one convenient place.

You will not be able to publish these reviews from other sites on your own site. But Launch Survey will help your patients leave you reviews on all these other review sites through its built-in Third Party Reviews Promotion.

All you have to do is provide PBHS with the URLs to your practice’s review pages.
Your business Yelp page URL:
ex. http://www.yelp.com/biz/dr-smith-santa-rosa-ca
Your business Google reviews page URL:
ex. https://plus.google.com/dr-smith-santa-rosa-ca
Your RateMDs page URL:
ex. https://www.ratemds.com/doctor-ratings/12345/Dr-smith-santa-rosa.html
Your ZocDoc page URL:
ex. https://www.zocdoc.com/dentist/john-smith-dmd-123456#Profile_ReviewsBox
Your Vitals page URL:
ex. http://www.vitals.com/dentists/Dr_John_Smith/reviews
Your Rate-a-Biz page URL:
ex. http://www.rateabiz.com/reviews/john-smith-dds-santa-rosa-ca/59458c3ef69baebe163e4b4a9ab979b6/summary

With the completion of this questionnaire, we will being construction of your Launch Survey.

Once your Survey is complete, we will email you the needed login information and instructions. Please note, Launch Survey will be completed right away by our support team (with or without your questionnaire back).

Please click the "Submit Form" button below to officially submit your Launch Survey setup questions!
Initials
This field is for validation purposes and should be left unchanged.

Launch Survey Questionnaire

Launch Survey Questionnaire

Step 1 of 6

Creating Launch Survey

Survey Questions

Facebook Account Setup

Promoting Third Party Reviews