This is a sample. A real audit of a real practice, shown with identifying details removed.

The audit is the scorecard itself. The review is the thirty minutes we spend going through it together.

FAx

VISIBILITY
SCORECARD

Specimen VI, a Dallas mall med spa
specimen-vi.example.com · July 28, 2026 · Tier 1 audit · Rubric v1.1
21
signals measured
Sample scorecard
More once we complete the manual review together.
Executive summary

Patients comparing med spas in your market find no results gallery and no written patient stories on your site, only star counts. That absence, alongside a visibility score out of 100, puts you in the room-for-improvement range. The site is fast and easy to book on, so the foundation is there to build on.

What the audit found

Strengths

+Booking button sits front and centerWebsite and booking

A clear "Book Now" button shows above the fold on mobile and links straight to scheduling. A patient ready to act does not have to hunt, so you keep the ones who arrive intent to book.

+Google categories cover your services wellLocal presence and Google

Your Google listing carries five relevant business categories including skin care clinic and medical spa. This helps the right patients find you when they search for what you actually offer.

+Every review gets a replyReputation and proof

You respond to 100% of Google reviews. Patients reading them see an engaged practice that pays attention, which builds trust before they ever call.

+Deep treatment page coverageWebsite and booking

More than 50 individual treatment pages cover your branded services, each on its own page. A patient researching a specific procedure finds a page built for it rather than one buried mention.

Costliest gaps

No before-and-after gallery on the siteReputation and proof

There is no results gallery anywhere on the site or navigation. In aesthetics, patients want to see outcomes before booking, so those comparing you to a practice that shows results are more likely to choose the one they can see.

No patient stories beyond star ratingsReputation and proof

Your reviews section shows stars only, with no written or video testimonials tied to treatments. Patients weighing a procedure tend to trust specific stories, and without them you risk losing them to practices that show real voices.

No first-mover or differentiation signalReputation and proof

Nothing on your presence marks what sets you apart or what you offer first. A patient seeing this and a differentiated competitor side by side is more likely to pick the one that looks like a leader.

Missing from aesthetic directoriesIdentity and listings

No listing found on the aesthetic-specific directories where patients research med spas. Patients who start their search there do not encounter you at all, so those visits go to listed competitors.

Thin presence in AI searchContent and discoverability

Across ChatGPT, Gemini, Claude, and Perplexity (the answers those tools give patients), you were named in only about 7% of relevant answers. As more patients ask AI first, you are absent from most of those conversations.

The path forward

Discuss the findings

Let's sit down and walk through what the audit found together. The conversation gives you a clear picture of where patients are choosing others and what it would take to win them back.

Lazar preps before the call: no before-and-after gallery on the site, and no patient stories beyond star ratings, both mapped in advance, plus every item marked In your review, ready to walk through together.

Book your 30-minute review →

Lazar LaLone · lazar@fractionalaesthetics.com · (412) 944-5506

Methodology

The goal: a diagnostic read of what a patient, or a referring doctor, sees from the outside, working only from what is openly on display and never from the practice's own dashboards or private analytics. It intentionally does not prescribe fixes, because effective solutions need further conversation and analysis to get right.

Rubric
Aesthetic Practice Visibility Scorecard v1.1, 100-point composite
Two kinds of number
Scores of 0 to 3 are ours, applied from this rubric. Figures such as Google's PageSpeed result, your star rating, review counts and follower counts are third-party measurements we read and report, not numbers we assign
This audit
Tier 1, the complimentary read. Every one of the 34 signals is drawn from patient-facing data. Tier 2 adds paid-media spend analysis, and only when you choose to share your ad data.
Signals
21 measured from patient-facing data so far; the rest walked through together in your review
Review items
Excluded from both earned and maximum points; they never count against the practice, and we look at them together in your review
Generated
July 28, 2026
Category breakdown
IN YOUR REVIEW = these signals need a closer look than patient-facing data alone allows, so we walk through them together in your review. They are excluded from the score entirely and never count against the practice.
1Local Search Visibility
56%
Your Google listing is claimed, with strong service categories and hours in place. The Q&A section sits empty, so common patient questions go unanswered where many read first. Several map and photo items need a closer look than public data allows; we walk through those together.
1.1 GBP Claim & Completeness 2 / 3
1.2 GBP Categories 3 / 3
1.3 Service Menu on GBP In your review
1.4 GBP Photo Volume & Recency In your review
1.5 GBP Posts Frequency In your review
1.6 Local Pack Presence (Primary Terms) In your review
1.7 Q&A Section Activation 0 / 3
2Website & Infrastructure
67%
This is your strongest area. The site loads at a solid mobile speed, a booking button sits above the fold, and scheduling works through your booking platform. Financing appears only on the homepage, so patients researching a specific treatment page may not see it when the cost question hits.
2.1 Mobile Speed Score 2 / 3
2.2 Above-the-Fold Booking CTA 3 / 3
2.3 Online Scheduling Integration 2 / 3
2.4 Branded Treatment Page Coverage 2 / 3
2.5 Financing Surfacing 1 / 3
3Reputation, Trust & Innovation
24%
Review responses are excellent at 100%. The costly gap is proof: no before-and-after gallery and no written patient stories, only stars. Patients choosing an aesthetic provider want to see outcomes and hear voices, and both are absent, which sends comparison shoppers to practices that show them. Certification visibility needs a closer look together.
3.1 Google Review Volume (Market-Relative) In your review
3.2 Review Response Discipline 3 / 3
3.3 Before/After Gallery Depth & Consent 0 / 3
3.4 Board Certification & Society Visibility In your review
3.5 Patient Evidence Beyond Stars 0 / 3
3.6 Innovation Leadership & First-Mover Evidence 0 / 3
4Content & Discoverability (incl. AEO)
52%
Your blog updates regularly and your site carries medical business code labels that tell search engines what you are. AI search visibility is thin: you appear in only about 7% of answers those tools give patients. As patients increasingly ask AI first, you are missing from most of those replies.
4.1 Blog Recency & Topical Depth 1 / 3
4.2 Visibility in AI search 2 / 3
4.3 Schema Markup Completeness 2 / 3
4.4 Podcast/Video Content Indexing 1 / 3
5Paid Media Presence
0%
No paid advertising was found running under your identities. This is a coverage note, not a failure, since paid media is a choice. Two of the three items here need paste-in data we review together before drawing any conclusion about competitive ad terms.
5.1 Meta Ad Activity & Creative Variety 0 / 3
5.2 Google Ads Presence (Competitive Terms) In your review
5.3 Landing Page Alignment In your review
6Social & Community
56%
Your Instagram presence is organized: a link hub in the bio and story highlights arranged by patient journey. Content mix leans on just two types, before-and-after and reviews, so the feed feels narrow. Posting cadence and engagement need data we gather before scoring.
6.1 Instagram Posting Cadence In your review
6.2 Engagement Rate In your review
6.3 Content Mix Diversity 1 / 3
6.4 Link-in-Bio Strategy 2 / 3
6.5 Story Highlights Organization 2 / 3
7Identity & Citation Consistency
0%
You are absent from the aesthetic directories where patients research providers, so that search traffic never reaches you. Directory name consistency and any legacy listing fragmentation need a full audit across platforms, which we walk through together rather than guess from partial data.
7.1 NAP Consistency Across Directories In your review
7.2 Aesthetic-Directory Presence 0 / 3
7.3 One consistent identity online In your review
7.4 Cross-Channel Brand Consistency In your review
Fractional Aesthetics

That is the whole read: 21 signals measured from what a patient can see. The rest we go through together.

Prepared for Specimen VI, a Dallas mall med spa · July 28, 2026 · Rubric v1.1

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