This PDF is an onboarding questionnaire completed by Dr. Adam Martinez of Alignlife Chiropractic and Natural Health Center for the Chiro‑Ads Academy. It captures the practice’s basic contact information (name, website, Instagram, personal and office phones, emails), business registration details (legal name Disc Gonstead, EIN, full office address in Katy, TX), phone‑outreach preferences (area‑code choices, primary outreach staff Zyyania Dansereau, no call forwarding, notification numbers/emails). It outlines the Day‑1 service sequence (health consultation, spinal exam, X‑rays, InBody scan, findings report, first adjustment) and pricing (promo $49, full $430). It lists the core components of typical care plans (adjustments, full spinal X‑rays, progress exams, InBody scan, functional nutrition, metabolic lab testing). Operational metrics include ~8,000 lifetime new patients, no insurance acceptance, and timezone America/Chicago. Marketing assets are provided via links to the business logo and Dr. Martinez’s headshot. The form also records Google review link and asks for 5‑star count (not answered). Overall, the document supplies all data needed to configure the practice’s marketing funnel, phone system, and landing pages within the Chiro‑Ads platform.
Topics
Practice Contact & Online Presence Details
Names, website URL, Instagram handle, personal and office phone numbers, personal and business email addresses.
Legal Business Identity & Tax Information
Legal business name (Disc Gonstead), EIN/Tax ID, exact office address, city, state, postal code.
Phone Outreach Configuration & Notification Preferences
Area‑code preferences for GoHighLevel number, primary outreach staff (Zyyania Dansereau), forwarding decision, notification phone and email for leads.
Day‑1 Service Sequence and Pricing Structure
Ordered list of services delivered on the first visit (consultation, exam, X‑rays, InBody scan, findings report, first adjustment) and associated promo ($49) and full ($430) exam prices.
Core Care‑Plan Components for Ongoing Treatment
Typical services included in care plans: adjustments, full spinal X‑rays, progress exams, InBody scans, functional nutrition, metabolic lab testing.
Marketing Assets Uploads (Logo & Headshot)
Links to the practice’s logo file and Dr. Martinez’s professional headshot for use on landing pages.
Operational Metrics & Practice History
Estimated total new patients (~8,000), insurance policy (does not take insurance), timezone (America/Chicago), Google review link.