Choosing an Agency

The Questions to Ask a Med Spa Agency Before You Sign Anything

By Mo NaboulsiMed Spa BuildersUpdated July 7, 20265 min read

Ten questions expose almost any bad agency deal in a single meeting. Agencies interview well because they are professional persuaders. Structure is harder to fake than charm, so ask about structure: money, ownership, focus, reporting, and exit. Here is each question, the answer you want to hear, and the answer that should end the conversation.

The ten questions

  1. How do you charge? Good: a flat, scoped fee. Bad: a percentage of ad spend, or a number they cannot give you until you commit.
  2. Does your fee rise when my ad spend rises? Good: no. Bad: yes, dressed up as "scaling together."
  3. Who owns the ad accounts, analytics, and website if we part ways? Good: you, all of it, from day one. Bad: anything with the word "transfer" or "buyout" in it.
  4. How many med spas do you work with right now? Good: a real number and named examples. Bad: "we work with all kinds of businesses."
  5. Who exactly works my account week to week? Good: named people and their other account load. Bad: "our team" with no names.
  6. What number do you report as success? Good: cost per booked consult and revenue. Bad: impressions, clicks, and "brand lift."
  7. What happens in the first thirty days? Good: audit, tracking, and conversion fixes before ads. Bad: ads live in week one.
  8. What is your contract term? Good: scoped setup, then month-to-month. Bad: twelve months minimum with an auto-renew.
  9. Can you show me a client you lost and why? Good: an honest answer. Bad: they have never lost one, which is a different kind of answer.
  10. If I can book more patients while spending less on ads, does your pay go down? Good: yes. Bad: watch them try not to say no.
You are not asking to be difficult. You are asking because every question maps to money: the percentage clause, the hostage accounts, the junior handoff, the vanity report, the lock-in. One meeting of questions is cheaper than one year of the wrong contract.

How to run the meeting

Send the questions ahead of time. A confident agency will love it, because good structure is their sales pitch. An evasive one will reschedule, generalize, or answer questions you did not ask. Both responses are data. Then verify what you heard: run their site and yours through the free check, and see who can actually be found.

See the gap before you spend

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Straight answers

What if an agency answers most questions well but flunks one?

Depends which one. Slow reporting maturity is coachable. Percentage pricing, agency-owned accounts, or a hard lock-in are structural, and structure does not improve after you sign.

Should I ask for references?

Yes, and ask the reference one thing: what happened when something went wrong? Anyone can name a happy client. How an agency handles a bad month is the actual product.

Is it rude to ask about their own marketing?

It is the fairest question on the list. If they sell AI visibility and search, check theirs in thirty seconds. Selling what you cannot demonstrate has a name, and it is not marketing.

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