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 XI, a Las Vegas surgical practice
specimen-xi.example.com · July 26, 2026 · Tier 1 audit · Rubric v1.1
10
signals measured
Sample scorecard
More once we complete the manual review together.
Executive summary

Patients searching for you in Las Vegas find a solid website but a Google presence that has gone quiet. Your visibility, which leaves clear room for improvement. The gap most at stake is how inactive your Google profile looks next to competitors, and it is worth a closer look together.

What the audit found

Strengths

+Your Google categories are dialed inLocal presence and Google

Your Google profile carries seven aesthetic-relevant categories, from skin care clinic to plastic surgery. This is the top score here and helps the right patients find you for the right treatments.

+Booking button is easy to findWebsite and booking

A clear scheduling button sits at the top of your site on mobile, where most patients land. When someone is ready to book, the next step is right in front of them.

+Your site loads at a reasonable speedWebsite and booking

Mobile speed scored 70 out of 100, in the solid range. Patients on phones are not waiting long, so fewer drop off before they see what you offer.

Costliest gaps

Your Google profile looks inactiveLocal presence and Google

No posts in the last 30 days, and no evidence of posts at all. Patients comparing practices read silence as a practice that is quiet, and are more likely to pick one that looks active.

No questions or answers on GoogleLocal presence and Google

Your Q&A section is empty. Patients ask real questions there before booking, and with nothing answered they tend to move to a practice that addressed the same question first.

Search engines see only a generic businessContent and discoverability

Your code labels, the ones that tell search engines what your business is, read as a general local business without the medical or physician detail. You risk losing ground in AI search, the answers ChatGPT and Google's AI give patients.

Thin presence on aesthetic directoriesIdentity and listings

You have a RealSelf profile, but the other directories patients check are not confirmed and the RealSelf listing status is unclear. Patients who compare across sites see less of you than of competitors.

Your Instagram bio sends patients nowhere specificSocial and community

The bio holds one plain link to your homepage. Patients arriving from social have to hunt for booking or a treatment, and some leave before they find it.

The path forward

Discuss the findings

Let's sit down and walk through what patients see when they compare you to other Las Vegas practices. The conversation gives you a clear picture of where consultations are slipping and what it would take to keep them.

Lazar preps before the call: your Google profile looks inactive, and no questions or answers on Google, 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
10 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 26, 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
42%
Your Google profile is claimed and its categories are strong, so the right patients can find you. The cost is silence: no recent posts, an empty questions section. Patients comparing practices read that as inactive and tend to pick one that looks busier.
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 0 / 3
1.6 Local Pack Presence (Primary Terms) In your review
1.7 Q&A Section Activation 0 / 3
2Website & Infrastructure
84%
This is your strongest area. The site loads at a reasonable speed and the booking button sits right at the top on mobile. Several parts, including how appointments are actually made, need a closer look than public data alone allows, and we walk through those together.
2.1 Mobile Speed Score 2 / 3
2.2 Above-the-Fold Booking CTA 3 / 3
2.3 Online Scheduling Integration In your review
2.4 Branded Treatment Page Coverage In your review
2.5 Financing Surfacing In your review
3Reputation, Trust & Innovation
n/a
Reputation, reviews, before-and-after galleries, and your credentials, could not be scored from public data. These carry heavy weight with patients choosing a surgeon, so we review them directly in the meeting rather than guess from the outside.
3.1 Google Review Volume (Market-Relative) In your review
3.2 Review Response Discipline In your review
3.3 Before/After Gallery Depth & Consent In your review
3.4 Board Certification & Society Visibility In your review
3.5 Patient Evidence Beyond Stars In your review
3.6 Innovation Leadership & First-Mover Evidence In your review
4Content & Discoverability (incl. AEO)
34%
Search engines currently see a generic business, not a medical practice with a physician. That weakens how you surface in AI search, the answers ChatGPT and Google give patients. Blog depth and video indexing we review together, since public data does not show them.
4.1 Blog Recency & Topical Depth In your review
4.2 Visibility in AI search In your review
4.3 Schema Markup Completeness 1 / 3
4.4 Podcast/Video Content Indexing In your review
5Paid Media Presence
n/a
5.1 Meta Ad Activity & Creative Variety In your review
5.2 Google Ads Presence (Competitive Terms) In your review
5.3 Landing Page Alignment In your review
6Social & Community
34%
Your Instagram highlights exist and a bio link is present, both partway there. The bio sends patients only to your homepage, and highlights are not organized by where a patient is in deciding. Both mean visitors work harder to reach booking.
6.1 Instagram Posting Cadence In your review
6.2 Engagement Rate In your review
6.3 Content Mix Diversity In your review
6.4 Link-in-Bio Strategy 1 / 3
6.5 Story Highlights Organization 1 / 3
7Identity & Citation Consistency
34%
You are on RealSelf, but the other directories patients check are not confirmed and consistency across your listings needs review. When your name, address, and phone number differ between sites, patients trust the picture less. We walk through the full set together.
7.1 NAP Consistency Across Directories In your review
7.2 Aesthetic-Directory Presence 1 / 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: 10 signals measured from what a patient can see. The rest we go through together.

Prepared for Specimen XI, a Las Vegas surgical practice · July 26, 2026 · Rubric v1.1

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