What is a normal no show rate for paid leads?

For net-new leads coming from paid search ads that schedule an appointment, we see an average no-show rate of about 35% across all clients! We routinely see clients able to keep no-show rates to 20% or less by following recommended best practice: text, e-mail, and phone call confirmations pre-consult and pre-treatment. By reaching out across e-mail, SMS, and in person on the phone, the no show rate can be drastically reduced. Take it a step further by properly phrasing your request when booking: "If you need to cancel, will you please let us know?" Getting a verbal (or SMS) "yes" to that question can reduce no-show rates by up to 80%!