Most owners asking this have been burned — traffic sold, results hoped for, retainer gone. The honest filter is simple: real lead data, real specialization, and skin in the game. Here are the questions that expose a bad agency before you sign.
Not a screenshot of impressions — actual consults booked. Vague 'engagement' and 'reach' numbers are where bad agencies hide. If they can't show booked-consult data, walk.
Generalists who run ads for plumbers and dentists don't understand GLP-1 intent, aesthetic buyer psychology, or LegitScript compliance. Specialization is the difference between qualified consults and curiosity clicks.
If they don't immediately mention LegitScript and current FDA positioning, they'll get your weight-loss ads flagged. This one question filters out most vendors instantly.
If the answer isn't 'instant, automated response,' they're leaving the 78%-book-the-first-responder advantage on the table.
You should pay the platforms directly and own your account and data. Marked-up, opaque spend is a red flag.
An agency confident in its system will put real skin in the game on the result — not just promise 'effort.'
If they'll run the same playbook for the spa across the street, your results are diluted by design. One-per-market exclusivity protects you.
You should have a live view of spend, consults, cost-per-consult, and ROI — not a monthly PDF of vanity metrics.
Ask to see a current client's live booked-consult data. Real lead data — not impressions or 'reach' — is the single fastest way to separate a results agency from one selling activity.
A specialist. Med spa acquisition involves GLP-1 intent, aesthetic buyer psychology, and LegitScript compliance that generalists don't track — which is why niche agencies consistently produce more qualified consults.
We fill one med spa's calendar per city with 30+ qualified consults a month — guaranteed in 90 days or we work free. Start with the free guide, or apply to see if your city's open.