Alpha Key Digital · Full Calendar Method scorecardSample data
Sample Aesthetics, August 2026
Plastic surgery and med spa · Client since Apr 6, 2026 · Account manager: Sam Rivera
Booked consultspatients who showed up36▲ 20% (improved)Close
Cost per booked consultad spend ÷ booked consults$203▼ 11% (improved)On track
Cost per leadad spend ÷ all leads$56▼ 6% (improved)On track
Show rateshowed ÷ scheduled72%▲ 6% (improved)Close
Return on ad spend$105,400 tracked revenue14.4x▲ 24% (improved)On track
Changes compare with July 2026.
Goals vs. actual
| Goal | Monthly target | This month | Status | Last 3 months |
|---|---|---|---|---|
| Booked consults | 38 | 36 | Close | 92 (target 68) |
| Cost per booked consult | $250 or less | $203 | On track | $218 |
| Cost per lead | $60 or less | $56 | On track | $58 |
| Show rate | 75% or more | 72% | Close | 69% |
| Return on ad spend | 10.0x or more | 14.4x | On track | 12.0x |
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 | $4,500 | 47 | 19 | 14 | 74% | $96 | $321 | $58,000 | 12.9x |
| Meta Ads | $2,800 | 44 | 14 | 9 | 64% | $64 | $311 | $22,400 | 8.0x |
| Google Business Profile | — | 19 | 8 | 6 | 75% | — | — | $11,800 | — |
| Existing patients | — | 10 | 5 | 4 | 80% | — | — | $6,900 | — |
| Organic search | — | 11 | 4 | 3 | 75% | — | — | $6,300 | — |
| Total | $7,300 | 131 | 50 | 36 | 72% | $56 | $203 | $105,400 | 14.4x |
Channels with no ad spend (organic, referral, existing patients) show no cost or ROAS.
Tracked revenue$105,400collected from patients with a tracked source
Return on ad spend14.4xon $7,300 of ad spend
Return on total investment9.3xad spend plus $4,000 management
Internet-driven revenue65%of $161,000 total practice revenue
Where you are in the method
Week 22 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
- +14
- Total reviews
- 246
What moved this month
- Booked consults passed the new monthly target for the first time.
- Review automation went live on Aug 25.
What we're doing next
- Film the second patient story video.
- Test a shorter Meta lead form.
Month by month
| Month | Ad spend | Leads | Booked consults | Show rate | Cost / lead | Cost / booked | Revenue | ROAS |
|---|---|---|---|---|---|---|---|---|
| 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 | — |