Aesthetic Clinic SEOa curriculum for clinics Part VII · Module 31 of 32
Module 31Part VII · Conversion and measurement

What to measure, and what to ignore

Most clinic reporting measures things that never change a decision. This module cuts it to six lines on one page.

Reading time
24 minutes reading
Exercise
45 minutes
Level
Applied
Part
VII. Conversion and measurement

PrerequisitesModule 04 · How search worksModule 29 · The booking path

In brief

Measure six things monthly: consultations booked, enquiries received, calls from the Business Profile, entrances from search, treatment pages appearing in results, and reviews received. Record last month, this month, the direction and what you will do. Ignore average position, bounce rate and any measure that has not changed a decision in six months.

Figure plate: ledger, an instructional still life drawn from the publication's plate series
Learning outcomes

What you will be able to do

By the end of this module you will be able to:

  1. Build a six-line monthly review sheet.
  2. Explain why average position and bounce rate mislead.
  3. Separate a real change from ordinary variation.
  4. Diagnose a genuine drop using a published method rather than guesswork.

Six lines, one page

MeasureLast monthThis monthDirectionWhat I will doConsultations booked··Enquiries received··Calls from the profile··Pages entered from search··Treatment pages ranking··Reviews received··SIX LINES. ONE PAGE. EVERY MONTH, THE SAME DAYIf a measure has not changed a decision in six months, delete the row.
Figure 31.1 The monthly review sheet. Six lines, four columns, the same day every month. If a line has not changed a decision in six months, delete it.

The design principle is that a measure exists to change a decision. A measure that has never changed one is a number being collected out of habit, and collecting it costs attention that the useful measures need.

Twenty minutes, on the same day each month. The discipline is the date rather than the depth: a shallow review done every month is worth several times a deep one done twice a year, because it is the sequence of readings that carries the information.

What each line tells you

LineSourceWhat it answers
Consultations bookedYour diaryWhether any of this is working. The only line that matters on its own.
Enquiries receivedYour inbox and call logWhether the top of the path is filling. Read with the previous line to see quality.
Calls from the profileBusiness Profile insightsWhether the local presence from Part VI is producing.
Entrances from searchSearch Console clicksWhether the pages are being found. Not the same as being read.
Treatment pages in resultsSearch Console pages reportWhether the build from Part III is being indexed and shown.
Reviews receivedYour profileWhether the process from Module 28 is actually running.

Note what is absent: revenue, which belongs in the accounts rather than in a marketing review; social media figures, which for a clinic rarely relate to bookings; and anything expressed as a score.

Three measures to ignore

Average position. It averages across every query a page appeared for, including queries you do not want, and it moves when the mix changes rather than when your page does. A page can improve for every query it cares about while its average position falls.

Bounce rate. A visitor who arrives at an answer page, gets the answer and leaves has been served perfectly, and is recorded as a bounce. For a publication of answers, a high figure is frequently a sign of success.

Impressions on their own. Useful as context, misleading as a target. Impressions rise when you appear for more queries, including irrelevant ones, and a rise with no change in clicks usually means you have become more visible for things you cannot serve.

Noise and signal

Clinic numbers are small, and small numbers move about. Eleven enquiries following nine enquiries is not a twenty-two per cent improvement; it is two enquiries and it may well be weather.

Two habits handle this. Compare the same month across years rather than consecutive months where seasonality is strong, which in aesthetics it is. And require a change to persist for three readings before treating it as real, unless it is large enough to be unmistakable.

Most of what a clinic responds to in month-on-month figures is noise, and most of the responses make things worse by changing pages that were working.

When something really drops

A genuine, sustained drop has a small number of causes and they are distinguishable. Google's guidance on debugging drops in search traffic separates them methodically: a technical problem, a manual action, a change you made, a change to the results page itself, seasonality, or a shift in what people are searching for.

Work through them in that order, because the first three are yours to fix and the last three are not. In practice, most clinic drops trace to something in Part V of this course: a migration without a complete map, a template change that introduced a canonical fault, or a noindex left behind.

Record the date of every change you make to the site, in the same document as the review sheet. Without that record, diagnosis becomes archaeology.

The annual questions

Once a year, four questions that the monthly sheet cannot answer.

  1. Which pages produced consultations, and are they the pages you expected?
  2. Which pages have produced nothing in twelve months, and should they be improved, merged or removed?
  3. Is the proposition from Module 06, Writing the clinic's proposition still true, and is it still on the pages?
  4. Has the work outgrown the hours available, which is the subject of Module 32, When to stop doing it yourself, and what to hand over?

The second question is the one clinics avoid. A page that has produced nothing for a year is either wrong for its subject or wrong for the site, and leaving it in place because it took an afternoon to write is the sunk cost fallacy with a URL.

Exercise 31

Build the sheet and fill it once

Forty five minutes, then twenty minutes a month.

  1. Draw the six lines and four columns from Figure 31.1, on paper or in a single spreadsheet tab.
  2. Fill this month's column from your diary, your inbox, your Business Profile and Search Console.
  3. Fill last month's column as far as you can. Where the data does not exist, write "not recorded" and move on.
  4. Add a change log tab: date, what changed, who changed it.
  5. Set a recurring twenty-minute appointment on the same day each month.
  6. Delete any other report you currently produce that has not changed a decision in six months.

The change log is the part people skip and the part that pays for itself the first time something drops.

Questions readers ask about this module

Should I use analytics software as well?

It answers different questions, mostly about behaviour on the site, and it is useful. It is not required for the six lines, five of which come from sources you already have. Add it if you will read it; a tool nobody opens is a privacy obligation with no benefit.

How long before I should expect results?

A quarter before a new page settles, and longer for competitive subjects, as Module 4 explains. The six lines are useful from the first month because they establish where you are starting from, not because they will move quickly.

What if the numbers do not move at all?

Check the change log. In most cases the answer is that not enough has changed: three pages rebuilt in six months is not a programme. Where real work has been done and nothing has moved, the diagnosis is usually in Part V rather than in the writing.

Is average position really useless?

It is useful for one thing: watching a single specific query for a single specific page over time. Used as a site-wide average it is close to meaningless, and it is the number most often put on a monthly report because it looks like a grade.

Sources and primary references

  1. Google Search Central, Search Console overview
  2. Google Search Central, Debugging drops in Google Search traffic
  3. Google Business Profile Help, Improve your local ranking on Google
  4. Google Search Central, Creating helpful, reliable, people-first content

Disclosure. This module contains no commercial links of any kind. This course is published by Northbank Media, is free to read, and is funded by the workbook pack and by clearly labelled series sponsorship. We do not rank, review or recommend agencies or clinics.

Module 31 of 32