How London Chiropractic Went from 4.1 to 4.8 Stars in 45 Days
Dr. Sarah Mitchell discovered her clinic was being buried in search results by competitors with better reviews—despite having more experience. A simple reputation strategy changed everything.
The Challenge
Dr. Sarah Mitchell had been practicing in London, Ontario for 12 years. She was a well-respected chiropractor with specialized training in pediatric and prenatal care—credentials most of her competitors didn't have.
But when prospective patients searched for "chiropractor near me," London Chiropractic was nowhere near the top. Despite her experience and expertise, she was being outranked by newer clinics with flashier websites and more aggressive marketing.
The Reputation Gap
"I had a 4.1-star rating on Google with only 17 reviews," Dr. Mitchell said. "My competitors had 4.7-4.9 stars with 50-100+ reviews. Even though I'd been in practice longer, patients were choosing them based on the numbers. It felt completely unfair."
The data backed up her frustration: Google's local search algorithm heavily weights review quantity and recency. A clinic with 100 reviews at 4.7 stars will almost always outrank one with 17 reviews at 4.1 stars—regardless of the doctor's qualifications.
Dr. Mitchell needed to understand:
- How many reviews her competitors were getting (and how often)
- What specific review collection strategies were working in her market
- How to systematically collect authentic reviews without feeling "salesy"
The Solution
Dr. Mitchell ordered a $129 HWARP Full Battlecard specifically to analyze her competitive review landscape. The report arrived in under 15 minutes.
What the Report Revealed
The Review Velocity Gap
Top-ranked competitors were averaging 4-6 new reviews per month. London Chiropractic was getting 1-2 reviews every 3 months. This slow velocity was signaling to Google that the practice was less active/popular.
The Timing Window
Competitors were asking for reviews within 24-48 hours of the appointment (when the experience was fresh). London Chiropractic had no systematic review request process—reviews only came from the most enthusiastic patients who thought to leave one unprompted.
The Response Strategy
All top competitors responded to 100% of reviews (both positive and negative) within 24 hours. London Chiropractic had never responded to a single review. This was costing her both in SEO ranking and patient trust.
The report included a specific recommendation: Implement a 2-touchpoint review collection system (automated email + manual text for VIP patients), respond to all reviews within 24 hours, and aim for 4-5 new reviews per month for the next 90 days.
The Implementation
Dr. Mitchell implemented all 3 recommended review strategies over 6 weeks. Here's exactly what she did and the results:
2-Touchpoint Review System (High Impact, Medium Effort)
The report showed that top competitors were using automated email sequences combined with personal outreach. Dr. Mitchell implemented both.
Week 1: Set up automated email sequence through her practice management software (Jane App)
- Email #1: Sent 24 hours after appointment thanking patient and asking for feedback
- Email #2: Sent 7 days later with direct Google review link (only if they didn't leave a review)
Week 2 onwards: Added personal text outreach for patients with exceptional results (e.g., eliminated chronic pain, first-time moms with successful prenatal care)
Result: 18 new 5-star reviews in 6 weeks (vs. 5 reviews in previous 6 months)
SEO Impact: Google began showing London Chiropractic in top 3 local results for 'chiropractor london ontario'
24-Hour Review Response Protocol (High Impact, Low Effort)
The report showed that all top competitors responded to every review within 24 hours. Dr. Mitchell had never responded to a review before.
Week 1: Set up Google Business Profile notifications on her phone
Week 1 onwards: Responded to every new review (positive or negative) within 24 hours
Week 2: Went back and responded to all 17 existing reviews with personalized thank-you messages
Result: 100% review response rate, 5 additional reviews from past patients who received responses and were reminded to leave their own
Trust Signal: Prospective patients saw an active, engaged practice owner who cared about patient feedback
Strategic Review Showcase on Website (Medium Impact, Low Effort)
HWARP identified that competitors were displaying recent 5-star reviews prominently on their homepages. London Chiropractic's website had no reviews visible.
Week 3: Added a 'Recent Reviews' widget to homepage using Elfsight
Week 4: Created a dedicated 'Patient Stories' page featuring detailed testimonials with photos (with permission)
Week 5: Added review count and star rating to website header
Result: Website conversion rate (contact form submissions) increased from 2.1% to 3.8%
Trust Building: First-time visitors saw immediate social proof, reducing hesitation to book
The 45-Day Timeline
Here's the week-by-week breakdown of implementation and results:
System Setup
- Monday: Ordered HWARP report, reviewed competitive review analysis
- Tuesday: Set up automated email sequence in Jane App
- Wednesday: Created review request email templates (2 versions)
- Thursday: Tested email automation with test patient
- Friday: Went live with automated review requests
- Week 2: Enabled Google Business Profile notifications
- Week 2: Responded to all 17 existing reviews
3 new 5-star reviews from automated emails
Momentum Building
- Continued automated email sequence for all appointments
- Started personal text outreach to 5-6 VIP patients per week
- Responded to all new reviews within 24 hours
- Added Elfsight review widget to website homepage
- Created dedicated Patient Stories page
- 2 past patients left reviews after receiving thank-you responses
7 more reviews (total: 10 new reviews in 4 weeks)
Breakthrough Results
- Noticed Google ranking improvement (moved from page 2 to top 3)
- Continued review collection systems consistently
- Added review count badge to website header (now showing 4.7 stars)
- Started getting organic reviews (no request needed) from referrals
- Received first online booking inquiry mentioning "great reviews"
8 more reviews + 3 organic reviews (total: 23 new reviews in 6 weeks)
The Results
4.1 → 4.8 Star Rating
23 new 5-star reviews improved overall rating from 4.1 to 4.8 stars
17 → 40 Total Reviews
More than doubled review count in 45 days
Top 3 Local Ranking
Moved from page 2 to top 3 results for 'chiropractor london ontario'
19 New Patients
Directly attributed to improved online presence and reviews
Revenue Impact (First 45 Days)
"I had no idea how far behind I was in terms of reviews. The HWARP report showed me exactly what my competitors were doing—and more importantly, gave me a clear roadmap to catch up. Going from 4.1 to 4.8 stars in 6 weeks felt impossible, but the system worked. Now I'm consistently getting 4-5 new reviews per month, and for the first time in years, I'm showing up at the top of Google searches. The 19 new patients in the first 45 days paid for the report 97 times over."
Long-Term Impact (90 Days Out)
Sustainable Review Velocity: The automated system continues generating 4-5 reviews monthly with minimal effort
Competitive Moat: Now has more reviews than 3 of her 5 main competitors, making it harder for new entrants to outrank her
Referral Multiplier: Many of the 19 new patients have referred friends/family, creating a virtuous cycle
Confidence Shift: Dr. Mitchell now actively asks for reviews without feeling "salesy"—it's just part of her patient care process
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