Google Ads and Listing Audit

Natural Beginnings

Prepared for Diana Chavez-Gifford, IBCLC · October 2026

Your ad budget is enough to bring in more patients. Right now, most of it isn't reaching the parents who are searching for help. Your Google listing can also be moved to your workspace and updated for the new office without putting it at risk. Here's what we found and how we'd fix it.

68%

of ad spend went outside Google Search in the last 12 months

$4,060

total ad spend from October 2025 to September 2026

14x

more calls per click from Google Search than from banner ads

60 days

to know your real cost per booked patient once tracking is fixed

  • About $2,750 of $4,060 (68%) went to the Display Network and Search Partners. Only $1,310 reached Google Search, where parents actually look for help.
  • Google Search averaged 30 clicks a month. That is the only traffic that turned into calls at a real rate (9.6%).
  • Your "conversions" are not bookings. Most are calls from your Business Profile, and the "Book appointment" goal counts every visit to your Contact page. Nothing tracks a booked Acuity appointment, so no one knows your true cost per patient yet.
  • 57% of your top search-term spend went to how-to questions ("breastfeeding," "how to increase milk supply") from people looking for free information, not an appointment.

Where your ad money goes

Your ads run as a Google "Smart" campaign. Smart campaigns automatically show ads as banners in phone apps and on partner websites, and there is no switch to turn that off. Those ads are cheap to click, but parents tapping a banner in a game aren't looking for a lactation consultant.

2 of every 3 ad dollars went to banner and partner ads

Monthly ad spend by where the ad showed, October 2025 to September 2026

Google Search Partner websites Banner ads in apps and websites
$341Oct $340Nov $340Dec $341Jan $339Feb $348Mar $299Apr $343May $345Jun $336Jul $342Aug $343Sep

Source: your Google Ads account, October 2025 to September 2026.

Over the year, about $1,310 reached Google Search. That small slice did the real work: Search clicks turned into calls at roughly 14 times the rate of banner clicks.

What we found

01Your Google listing is safe to move, in the right order

Your Business Profile is owned by your personal Gmail, not your Natural Beginnings workspace. Moving it is a routine change that doesn't touch anything parents see, so it doesn't put the listing at risk when it's done step by step:

  1. Add your workspace email to the profile and make it an owner.
  2. Make the workspace email the primary owner.
  3. Keep your old Gmail on the profile as a backup owner for now.
  4. Make no other changes to the listing that week.

For the Mesquite office, add the address to your current profile instead of creating a new one. Your profile can show the office and still list the areas you cover with home visits, so you keep every review. A second profile only makes sense for a separately staffed location, and duplicate listings are one of the most common reasons Google suspends a business.

Google may ask you to reverify the new address, often with a short video, so have your office signage and a lease or utility bill ready. We'd make this change a week or two after the ownership move.

What it means for you: your listing ends up in your workspace, shows your new office and keeps all your reviews, with no risky shortcuts. It's also the right time to connect Google Search Console, so you can see how people find your website.

02Most of the budget isn't reaching parents who are searching

About $2,750 of $4,060 last year went to banner ads and partner websites. Google Search, where parents type "lactation consultant near me," averaged about 30 clicks a month.

What it means for you: moving that money to Search puts far more of your current budget in front of parents who are actively looking for help, without spending more.

03Your cost per patient can't be seen yet

Google reports about $50 per "conversion," but those conversions are mostly calls from your Google listing and visits to your Contact page. A booked appointment in Acuity isn't tracked at all.

What it means for you: once booking tracking is in, you'll know exactly what a new patient costs you, which is the number you asked for.

04Over half of search spend goes to people looking for free tips

Searches like "breastfeeding" and "how to increase milk supply" took 57% of your top search spend. Those parents want an article, not an appointment. Searches like "lactation consultant near me" are the ones to buy, and they're already among your top terms.

What it means for you: focusing on parents who want to book makes every click count.

05Your ads aren't connected to your Google listing or new office

Google shows a warning that your ads can't link to your Business Profile, so they can't show your address, map pin or star rating. This can happen when the ads account and the listing sit under different logins, which the ownership move should help fix. The ad area was also set before the Mesquite office opened.

What it means for you: your reviews and new office become part of every ad, which builds trust before a parent even calls.

06Booking takes too many steps, and concierge care isn't on the site

Almost every ad click happens on a phone. From the homepage, a parent goes to a Contact page with four consultants and four booking links. The concierge packages aren't on the website yet.

What it means for you: a simple "Book a visit" page and a concierge page turn more of the same clicks into booked families, and give concierge care a place to sell.

What fixing it looks like

Your listing in your workspace, showing the new office, with every review intact.

More of your current budget reaching parents who are ready to book.

Your real cost per booked patient, measured within 60 days.

Ads that show your reviews, your new office and a tap-to-call button.

Search Console connected, so you can see how people find your website.

A clear path to grow concierge care, the higher-value side of the practice.

How we'd approach it

Weeks 1 to 4

Protect, fix and track

  • Move your Google listing to your workspace
  • Add the Mesquite office to your current profile
  • Track real bookings and calls
  • Move ads to Google Search only
  • Connect ads, listing and Search Console
  • Simplify booking from ads

Months 2 and 3

Grow on Google

  • Focus ads on parents ready to book
  • Adjust weekly from real results
  • Weekly posts and new office photos on your Google listing
  • Review plan: ask every family, reply to every review
  • Monthly report on cost per patient

From January

Launch concierge

  • Concierge page on your website
  • Instagram and Facebook ads for expecting parents
  • Shift budget toward what books patients

Next step

If you'd like to move forward, I'll put together a proposal tailored to your goals, especially the move to concierge care.

Questions about anything here? Just reply to my email.

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