Questions to Ask a Med Spa Marketing Agency

How will you prove which appointments came from your work?

Attribution is the first question because it exposes whether an agency reports outcomes or activity. An agency that answers with impressions, traffic, and rankings is telling you what it measures. You are buying booked appointments, so ask exactly how a new patient on the schedule gets traced back to a specific channel and campaign.

Google's own documentation defines attribution as assigning credit for important user actions to the ads, clicks, and touchpoints along the path to completing the action, and it applies to key events you define, such as a consultation request. Ask which key events the agency has configured and whether booking is one of them.

Also ask how they handle the known limits. In Google Analytics 4, all attribution models exclude direct visits from receiving credit unless the entire path is direct, and conversions can be reattributed for only up to 7 days. An agency that cannot name a single limitation of its own reporting has not thought hard about it.

• Which key events are configured, and does one map to a booked consultation?
• Which attribution model do you use, and why?
• Can you show me a sample monthly report from a real account with names redacted?
• How do you count a phone booking versus an online booking?

What are your contract terms, and what happens when I leave?

Long lock-ins shift risk from the agency to you. A 12 month term with an auto renewal clause means the agency gets paid whether or not appointments materialize, and your only recourse is waiting. Ask for the minimum term, the notice period, and any early exit fee, in writing, before the sales call ends.

Then ask the offboarding question, because that is where burned owners get burned twice. What exactly transfers to you on the last day: campaign structures, audience lists, creative files, landing pages, tracking configuration? If any of it is described as proprietary, price the cost of rebuilding it into your decision.

Rank and Rejuvenate runs month to month for this reason, and you should hold any agency, including us, to the same test: if the work stops producing appointments, you should be able to stop paying for it within 30 days.

Who owns the ad accounts, the analytics, and the website?

This is the question that separates recoverable mistakes from expensive ones. Some agencies run your campaigns inside accounts they own. Leave, and your history, conversion data, and audience learning leave with them.

The correct structure is documented by Google itself. An agency should access your Google Ads account through a manager account link, and per Google's guidance the client account still owns its data and has the ability to remove ownership access by unlinking. Google also advises that a manager should be made owner if and only if the manager account requires those privileges. A client account can have only one owner, so know whether that owner is you.

Apply the same standard everywhere: Google Business Profile, Analytics, the website domain, hosting, and the booking platform. Ask for a written inventory of every account, who owns each one, and what access level the agency holds. Rank and Rejuvenate builds in your accounts with your ownership from day one; verify that claim rather than accepting it.

• Do campaigns run in an account I own, linked to your manager account?
• Am I the administrator on my Analytics property and Business Profile?
• Is the domain registered in my name, at a registrar I control?
• If we part ways, what do I keep, and what do you delete?

How do you keep my treatment claims compliant?

Med spa advertising is health advertising, and the FTC treats it that way. The agency's Health Products Compliance Guidance states that claims about the benefits or safety of health related products require substantiation in the form of competent and reliable scientific evidence, and that advertisers must have a reasonable basis for product claims before disseminating an ad. As a general matter, the FTC says substantiation of health related benefits will need to be in the form of randomized, controlled human clinical testing.

The liability is not only yours. The FTC notes it has taken action not just against product marketers but also against ad agencies, endorsers, and others engaged in deceptive marketing, and it reports having settled or adjudicated more than 200 cases involving false or misleading claims about health related products since 1998. An agency writing your ads is exposed alongside you, and a competent one will act like it.

Test their fluency directly. Ask how they substantiate a before and after result, how they handle patient testimonials, and whether they will sign a business associate agreement before touching anything derived from patient records. Vague answers here mean you become their compliance training.

Run this checklist against Rank and Rejuvenate

A checklist you only point at other agencies is a sales tool. Bring every question on this page to our audit call and ask them in order: the attribution mechanics, the month to month terms, the account ownership inventory, the substantiation process for claims.

We will answer with specifics or tell you plainly where a question does not have a clean answer. Any agency that resents being audited on an intro call is showing you how the relationship will go after the invoice clears.