Open ChatGPT right now and type this: ‘Who are the best chiropractors for lower back pain in [your city]?’
Go ahead. We’ll wait.
Suppose your practice came up with your name, your location, and a reason why; that’s a genuine competitive advantage you’ve earned.
If it didn’t, you’ve just discovered the most important gap in your digital marketing.
And you’ve discovered it the same way a patient in pain is discovering it right now, at 10 pm on a Tuesday, before your phone ever rings.
This is your AI visibility audit. It takes about 15 minutes. Here’s exactly how to run it, what the results mean, and what to do next.
Why This Test Matters More Than Your Google Ranking
Before you run the audit, understand what you’re actually measuring.
44% of all AI search prompts return zero brand mentions – not because those businesses are bad, but because they haven’t structured their digital presence in a way AI can read and cite, according to research analysing millions of AI responses in 2025. That means roughly half of all chiropractic practices are completely invisible in AI-generated answers, regardless of how well they rank on Google.
Your Google ranking and your AI visibility are related but not the same thing. A practice ranking #3 on Google can be absent from ChatGPT recommendations. A practice that’s never cracked the first page of Google can appear consistently in Gemini answers – if its content is structured correctly.
This audit shows you which category you’re in. It takes 15 minutes.
The 15-Minute AI Visibility Audit
You’ll run this across three platforms: ChatGPT, Gemini, and Perplexity. Each works slightly differently, which is why testing all three gives you the complete picture.
What you need: a free ChatGPT account at chat.openai.com (enable web search if available), Google’s Gemini at gemini.google.com, and Perplexity at perplexity.ai (free, no account needed).
Open all three in separate tabs. Then run each of the following prompts across all three platforms, replacing the placeholders with your actual city and conditions.
The 8 Prompts to Test
1. Location queries (highest-intent – patients ready to book):
- ‘Best chiropractor in [your city]’
- ‘Best chiropractor for lower back pain in [your city]’
- ‘Who should I see for sciatica in [your city]?’
2. Condition queries (patients earlier in their journey – describing a problem, asking who can fix it):
- ‘Can a chiropractor help with headaches/neck pain/sciatica? Who do you recommend in [your city]?’
- ‘I’ve had lower back pain for two weeks that gets worse when I sit – should I see a chiropractor in [your city]?’
3. Trust queries (do you appear positively when someone searches you specifically?):
- ‘Is [Your Practice Name] a good chiropractor?’
- ‘Tell me about [Your Practice Name] in [your city]’
4. Competitor benchmark:
- ‘Who is the most recommended chiropractor in [your city]?’
Pro Tip
Perplexity is the most transparent platform to audit because it lists its sources explicitly. If a competitor is being recommended, Perplexity will show you exactly which pages on their website AI is pulling from. That’s your content gap roadmap.
What to Record for Each Response
For each prompt on each platform, note: Does your practice appear? (Yes/No.) Where – named first, second, third, or not at all? How is it described – what reason does AI give for recommending it? Who appears instead? Are sources shown?
Date-stamp your results. Research found AI citation sources shift 40–60% month-to-month – a snapshot from today looks meaningfully different in six weeks. This first audit is your baseline.
Reading Your Results
Scenario A — You appear consistently across most prompts. Your AI visibility foundation is working. The priority now is strengthening it – appearing first rather than third, and ensuring AI’s description of your practice is specific, accurate, and compelling.
Scenario B — You appear for some prompts but not others. This is the most common result, and the most actionable. The prompts where you don’t appear reveal your content gaps. If you show up for ‘best chiropractor in [city]’ but not ‘chiropractor for sciatica in [city],’ you almost certainly don’t have a dedicated, detailed page on your website about sciatica treatment.
Scenario C — You don’t appear at all. This is where most practices land when they first run this audit. It means your digital presence isn’t yet structured in the way AI platforms need to confidently recommend you. Every element of it is fixable.
Scenario D — AI describes your practice inaccurately. If AI says you’re located somewhere you’re not, or describes you as a general practitioner when you specialise in sports injuries, patients are forming the wrong expectations. Inaccurate characterisation usually traces back to inconsistent information across your website, Google Business Profile, and directory listings.
The Five Reasons Practices Don’t Appear, and What Fixes Them
Research identifies five consistent reasons local practices are invisible in AI search.
1. No condition-specific pages. AI platforms match patient queries to content. If your website has one services page listing fifteen conditions in bullet points, AI can’t confidently recommend you for any specific condition query. Each condition you treat needs its own page with sufficient depth for AI to extract a confident answer.
2. Content written for Google, not for how patients describe their pain. There’s a meaningful difference between ‘lumbar disc herniation treatment’ and ‘lower back pain that shoots down my leg.’ AI searches are conversational. Your content needs to answer the questions patients are actually asking in the language they’re using.
3. Inconsistent business information across platforms. If your name, address, and phone number differ between your website, Google Business Profile, and directory listings, AI platforms lose confidence in your data and pass you over.
4. A thin or stale review profile. Reviews are both a trust signal and a content source for AI. When patients mention conditions in their reviews, those reviews become indexed, condition-specific evidence. A profile with 18 reviews from two years ago signals a dormant practice.
5. No structured data (schema markup). Schema markup is the technical language that tells AI platforms exactly what your business is, what it treats, where it’s located, and what patients say about it. Without it, AI has to guess – and it usually guesses conservatively, or not at all.
How the Three Platforms Differ
ChatGPT draws on both training data and live web search. When web search is enabled, it pulls from the current pages. If your practice is new or your website was recently updated, testing with web search enabled gives the most accurate current picture.
Gemini is directly integrated with Google Search. Siftly’s 2026 research found that 99% of Google AI Overview citations come from the organic top 10. Improving your Google ranking improves your Gemini visibility simultaneously.
Perplexity runs a live web crawl per query and treats content freshness as a strong signal. It explicitly lists its sources with every answer, making it the most auditable platform and the most useful for diagnosing which competitor pages are outperforming yours.
A practice appearing consistently across all three is benefiting from both strong traditional SEO and optimised AI-specific content structure. That combination is what the Perfect Patients’ GEO platform is built to create.
You’ve Done the Audit. What Now?
If your practice showed up confidently and accurately across all three platforms – your digital foundation is working. The next step is making sure it stays that way as AI platforms update and your competitors catch up.
If you found gaps – missing entirely from some queries, outranked on others, or described inaccurately – you now know exactly what needs fixing.
At Perfect Patients, our GEO platform monitors exactly this – tracking how and where your practice appears across AI platforms for the conditions you treat, identifying the content gaps that are costing you recommendations, and implementing the fixes. The audit you just ran manually is something we track, every month, for the practices we work with.
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