Alpha Key Digital · Full Calendar Method scorecardSample data
Sample Aesthetics, September 2026
Plastic surgery and med spa · Client since Apr 6, 2026 · Account manager: Sam Rivera
Booked consultspatients who showed up42▲ 17% (improved)On track
Cost per booked consultad spend ÷ booked consults$179▼ 12% (improved)On track
Cost per leadad spend ÷ all leads$52▼ 7% (improved)On track
Show rateshowed ÷ scheduled76%▲ 6% (improved)On track
Return on ad spend$128,100 tracked revenue17.1x▲ 18% (improved)On track
Changes compare with August 2026.
Goals vs. actual
| Goal | Monthly target | This month | Status | Last 3 months |
|---|---|---|---|---|
| Booked consults | 38 | 42 | On track | 108 (target 91) |
| Cost per booked consult | $250 or less | $179 | On track | $200 |
| Cost per lead | $60 or less | $52 | On track | $55 |
| Show rate | 75% or more | 76% | On track | 72% |
| Return on ad spend | 10.0x or more | 17.1x | On track | 14.5x |
Where patients came from
Every lead is tied to a tracking number or tagged link, so each consult has a source.
| Channel | Ad spend | Leads | Scheduled | Booked (showed) | Show rate | Cost / lead | Cost / booked | Revenue | ROAS |
|---|---|---|---|---|---|---|---|---|---|
| Google Ads | $4,600 | 52 | 22 | 17 | 77% | $88 | $271 | $71,200 | 15.5x |
| Meta Ads | $2,900 | 49 | 15 | 10 | 67% | $59 | $290 | $26,800 | 9.2x |
| Google Business Profile | — | 22 | 9 | 7 | 78% | — | — | $13,900 | — |
| Existing patients | — | 9 | 4 | 4 | 100% | — | — | $7,400 | — |
| Organic search | — | 13 | 5 | 4 | 80% | — | — | $8,800 | — |
| Total | $7,500 | 145 | 55 | 42 | 76% | $52 | $179 | $128,100 | 17.1x |
Channels with no ad spend (organic, referral, existing patients) show no cost or ROAS.
Tracked revenue$128,100collected from patients with a tracked source
Return on ad spend17.1xon $7,500 of ad spend
Return on total investment11.1xad spend plus $4,000 management
Internet-driven revenue75%of $170,000 total practice revenue
Where you are in the method
Week 26 of the engagement. We cut what isn't working, scale what is, automate your reviews, and build the search and AI visibility that makes you the practice that gets recommended.
- Weeks 1 to 3✓ Diagnose
- Weeks 3 to 6✓ Prescribe
- Months 2 to 4✓ Treat
- Months 4 to 6 and beyondCompound
- Full marketing audit delivered (done)· Apr 14, 2026
- Tracking numbers and tagged links on every channel (done)· Apr 24, 2026
- Booked consult definition agreed (done)· Apr 27, 2026
- Procedure landing pages live (done)· May 8, 2026
- Real-time dashboard live (done)· May 15, 2026
- Existing patient campaign sent (done)· May 12, 2026
- Google Ads live (done)· Jun 1, 2026
- Meta Ads live (done)· Jun 9, 2026
- Patient story videos filmed (done)· Jul 22, 2026
- Review automation running (done)· Aug 25, 2026
- Search and AI visibility plan in place (in progress)
Reviews
4.8
average rating
- New this month
- +17
- Total reviews
- 263
What moved this month
- Google Ads cost per booked consult fell to its lowest point since launch.
- Facelift landing page now converts at 9% of visitors to leads.
- 17 new Google reviews, the most in a single month so far.
What we're doing next
- Shift 15% of Meta budget to the facelift patient story ad.
- Launch the neck lift procedure page.
- Start the AI visibility audit for 'best facelift surgeon' searches.
Month by month
| Month | Ad spend | Leads | Booked consults | Show rate | Cost / lead | Cost / booked | Revenue | ROAS |
|---|---|---|---|---|---|---|---|---|
| Sep 2026 | $7,500 | 145 | 42 | 76% | $52 | $179 | $128,100 | 17.1x |
| Aug 2026 | $7,300 | 131 | 36 | 72% | $56 | $203 | $105,400 | 14.4x |
| Jul 2026 | $6,800 | 115 | 30 | 68% | $59 | $227 | $79,300 | 11.7x |
| Jun 2026 | $6,000 | 102 | 26 | 67% | $59 | $231 | $56,600 | 9.4x |
| May 2026 | $0 | 49 | 15 | 71% | — | — | $27,000 | — |