We target a lot more stringently than you. - within 10 miles - Female between 25 and 35 - College-educated Our Facebook ad links to our landing page. When I look at our mailing list, to see where our subscribers are from, - 11% Facebook - 10% "Drove by the clinic" - 8% Web Search We've got a whole bunch that didn't fill out that box. Keep in mind - Facebook is just part of our strategy. We've also got an active Pinterest page and Facebook drives to our mailing list (64% open rate, thankyouverymuch) but we're also local. We're basically trying to hit everything with a uterus and a health plan within an easy drive of the clinic. Your strategy should probably be a little different. I feel pretty bashful giving a salesman tips on selling. Somewhere on here I've got a link about sales strategies for ultra-high net worth individuals. It spoke to a completely different approach. It's possible you'll capture clients with Facebook - I'd try an approach other than keywords - but it's more likely you'll capture them through a referral network. My wife has a new client. She's the sister-in-law of a former client. In Los Angeles. Facebook won't help you with shit like that.