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📱 SMS Automation

The 4-step SMS sequence that runs after every medspa visit.

Set it up once. It runs automatically — collecting feedback, generating Google reviews, and sending referral invites after every single client visit. No manual sending. No follow-up lists. No staff time. Just the right message to the right client at the right moment.

No credit card required · All features included · Cancel anytime

98%
SMS open rate — vs. 20–26% for email. Your message actually gets read.
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90 sec
average time for an SMS to be read after it's delivered
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45%
SMS response rate vs. just 6% for email follow-ups
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27%
of medspa clients lost annually — mostly without any follow-up contact from the spa
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Why SMS specifically

Why SMS works for medical spas in a way email never will

Let's be honest about why email follow-up fails for most medspas. Your clients are probably also on the email lists of their gym, their skincare brand, their booking platform, their loyalty programs from three different restaurants, and approximately forty-seven other businesses. Your “thank you for your visit” email lands in an inbox that processes it in the same mental bucket as the others. Even if it gets opened (and most don't — email open rates average 20–26%), it competes with everything else in that attention landscape.

SMS is different because of how people relate to their phones. A text from a business still feels more personal than an email. It interrupts in a way email doesn't. And 98% of SMS messages are opened, usually within 90 seconds. That's not a small difference from email — it's a fundamentally different channel.

For medspas specifically, SMS works because the relationship is already personal. Your clients gave you their phone number to book the appointment. You texted them a confirmation. A follow-up text from the same business is a natural continuation of a conversation that already started — not an unsolicited intrusion.

And the timing advantage is uniquely valuable in aesthetics. A medspa client's experience is visceral and specific. They know exactly how the treatment felt, what their injector said, whether the results are showing. A text two hours later catches all of that while it's still vivid — before the memory generalizes into a blurry “yeah it was fine.”

Channel comparison for medspa follow-up
SMS (2 hours post-visit)
Opens: 98%
Responses: 45%
Very low — tap link, form opens in browser
Email (day 2–3)
Opens: 20–26%
Responses: 6%
Medium — requires opening email, clicking through, logging in possibly
In-person ask at checkout
Opens: ~100%
Responses: Very low
Highest — client in transition, no immediate action path
Social media DM
Opens: Low
Responses: Very low
High — requires platform account, different app
The default sequence

The 4 messages, the timing, and the reasoning behind each one

These aren't arbitrary timings. Each message is placed at a specific moment in the post-visit psychology. Here's the logic.

01
2 hours after visitFeedback SMS

Two hours is the sweet spot. The client is home and decompressed, but the specific sensory details of the experience — how the numbing felt, what their injector said, the moment they saw the first results — are still vivid. This produces richer, more honest feedback. Response rates at this window are typically 2–3x higher than at 24 hours.

Example message
"Thanks for coming in today, [Name]! How did everything go? Your quick feedback helps us keep improving: [link]"
02
24 hours after visitFeedback reminder

Some clients intend to fill out the feedback but get pulled away — another message comes in, they get home and something needs their attention. The 24-hour reminder catches those clients. It's not pushy because it's only one follow-up, and it only goes out if they haven't responded yet.

Example message
"Hi [Name], just a gentle reminder about the quick feedback from yesterday. Only takes 2 minutes: [link]"
Smart skip: Automatically skipped if the client already submitted feedback at step 1.
03
3 days after visitGoogle review request

By 3 days, Botox and filler results are starting to show for most clients. If swelling has gone down and they're seeing the effect, this is when enthusiasm is high. The message comes with their AI-drafted review ready — they just need to post it. Three days also gives you time to have already flagged and reached out to any negative feedback from steps 1 and 2.

Example message
"[Name], we hope you're loving your results! Would you be willing to share your experience on Google? We've already drafted a review for you: [link]"
Smart skip: Automatically skipped if the client already clicked the review link — or if they never submitted feedback at all (no review request to a client with no context).
04
20 days after visitReferral program invite

Twenty days is approximately when Botox is fully settled, filler has softened into natural-looking results, and Sculptra's collagen stimulation is beginning. It's the moment when clients are looking in the mirror and feeling most positive about their decision. They're already telling friends — you're just formalizing that conversation with a unique referral link and a reason for both parties to follow through.

Example message
"[Name], we'd love to be your friends' go-to medspa too 💜 Share this link and you both get [reward]: [referral link]"
Smart skip logic

Why sending the wrong message at the wrong time hurts more than not sending anything

A lot of medspa marketing tools send every message in a sequence regardless of what the client has already done. That creates jarring experiences — a review request to a client who rated 2 stars and vented in the private feedback form, or a feedback reminder to someone who already filled it out yesterday. It signals to clients that the system doesn't know them. It feels impersonal and careless.

Spokk's smart skip logic means every message that goes out is contextually appropriate. If a client already submitted feedback, they don't get a reminder to submit feedback. If a client already clicked the Google review link, they don't get a follow-up asking them to leave a review. The sequence knows what each client has done — and adjusts accordingly.

This matters particularly for medspas because the client relationship is premium. Your clients aren't just buying a commodity service — they're trusting a provider with their appearance. A spammy, context-unaware follow-up sequence undermines the relationship you've built. Smart skipping ensures that every message that does go out feels intentional and relevant.

Smart skip scenarios
Client submits feedback at 2 hours
24-hour reminder is suppressed automatically
Client clicks Google review link at 3 days
No duplicate review request is sent
Client submits negative feedback (below threshold)
Google review request is never sent — only private follow-up
Client never submitted feedback
3-day Google review request is skipped — no context, no review
Client opts out with STOP
Permanently removed from all future sequences
The compound effect

What happens to your medspa when every single visit generates reviews, feedback, and referrals

Most medspas focus their marketing energy on acquisition — paid ads, social media, influencer campaigns. These channels work, but they require ongoing spend and attention. The moment you stop, the pipeline slows.

Spokk's automation creates a different kind of growth engine — one that runs off the visits you're already doing. Every client visit generates a feedback request (improving your service data), potentially a Google review (improving your ranking and conversion), and eventually a referral invite (generating new clients at zero acquisition cost). All of this happens automatically, in the background, after every single visit.

The compounding effect becomes visible over 3–6 months. Your Google review count grows steadily — 10 this month, 14 next month, 18 the month after. Your rating climbs as you collect more 5-star reviews. Your local search ranking improves. New clients find you more easily. And because your referral program is running automatically, some percentage of those new clients came from existing satisfied clients rather than paid ads.

Meanwhile, your feedback dashboard is filling with operational insights — staff performance data, service-level satisfaction trends, consultation quality signals. You're making better decisions based on actual client data rather than gut instinct. The business gets better at retaining the clients it already has, which reduces the pressure on acquisition.

What Spokk generates per 100 visits
~35–45 feedback submissions
At typical SMS response rates — rich operational data across staff, services, and experiences.
~8–15 new Google reviews
From clients who submitted positive feedback and completed the AI-assisted review flow.
~25–35 private insights
Negative or neutral feedback routed privately — service recovery opportunities before they go public.
~3–8 referral bookings
From the 20-day referral message — estimated based on typical referral conversion rates for service businesses.
Estimates based on typical medspa SMS engagement rates. Actual results vary by client base and sequence customization.
Compliance & trust

TCPA compliance and why opt-outs actually help your spa's reputation

Every SMS Spokk sends includes a STOP reply option. That's not just best practice — it's legally required under the Telephone Consumer Protection Act and CTIA guidelines. Clients who text STOP are immediately removed from all future sequences and never messaged again. Spokk handles this automatically.

Here's the counterintuitive truth: a visible opt-out option makes clients more comfortable receiving your messages in the first place. It signals that you're running a professional, transparent operation — not spamming. Clients who know they can stop messages at any time are less likely to be annoyed by them.

In practice, opt-out rates for well-timed, relevant messages are quite low — typically under 3% for businesses where clients actually want to hear from them. A medspa with a strong client relationship and a useful, timely sequence will see minimal opt-outs. The opt-out option is mostly a trust signal, not a liability.

For US and Canadian medspas, Spokk provisions a dedicated toll-free number for your business. All messages to your clients come from that same number — building familiarity over time and improving open rates. Clients start to recognize the number and engage with messages from it more readily.

What Spokk handles automatically
STOP opt-out processing
Any client who replies STOP is immediately removed from all future sequences. No manual action required.
Dedicated toll-free number
US/Canadian medspas get their own number. All client messages come from a consistent, recognizable source.
Opt-out record keeping
Opted-out contacts are logged and permanently excluded from sequences — even if they're re-entered into your system later.
Delivery tracking
You can see which messages were delivered, opened (where trackable), and acted on — without managing any of this manually.
FAQ

Questions about SMS automation for medical spas

How does Spokk's SMS automation work for medical spas?
Spokk runs a 4-step automated SMS sequence after every client visit: a feedback request at 2 hours, a feedback reminder at 24 hours (skipped if they already responded), a Google review request at 3 days (skipped if they already clicked the review link or never submitted feedback), and a referral invite at 20 days. Each step is fully customizable — you can edit the timing, the message text, and which steps to include.
What triggers the SMS automation sequence?
The sequence can be triggered five ways: (1) QR code check-in — client scans at reception; (2) REST API — your booking software (Jane App, Mindbody, etc.) or POS sends a trigger automatically when an appointment completes; (3) HubSpot CRM — new or updated contacts trigger the sequence natively; (4) Zapier or Pabbly — no-code connectors that let you link almost any app to Spokk without writing code; (5) Staff manual entry — staff log the visit through the Spokk staff portal, which is useful for walk-ins or when a client forgets to scan. Once triggered by any method, the full sequence runs automatically.
What is the smart skip logic in Spokk?
Smart skipping means Spokk automatically suppresses messages that are no longer relevant. If a client already submitted feedback, the 24-hour reminder is skipped. If a client already clicked the Google review link, the 3-day review reminder is skipped. If a client never submitted feedback at all, the 3-day Google review request is also skipped — because sending a review request to someone who hasn't shared any feedback yet is pushy and ineffective.
Can I customize the SMS message text?
Yes. Every message in the sequence is fully customizable — message text, timing, and which steps are included. You can edit the default templates, add your spa's name or a personalized touch, and adjust the timing of each step. Custom SMS steps are also available for any additional messages you want to add.
Is SMS automation TCPA compliant?
Yes. Every SMS sent by Spokk includes a STOP reply option, which is legally required under the Telephone Consumer Protection Act (TCPA) and CTIA guidelines. Clients who opt out are automatically removed from all future sequences and never messaged again. Spokk handles compliance automatically — you don't need to manage opt-outs manually.
What phone number will SMS messages come from?
For US and Canadian medical spas on paid plans, Spokk provisions a dedicated toll-free number for your business. Clients receive all messages from the same number, which builds familiarity and trust. For international medspas, Spokk supports Bring Your Own Twilio (BYOT) integration.
Why is the referral SMS sent 20 days after the visit?
20 days is the loyalty peak for most medspa treatments — results are visible and at their best, the experience is positive and recent, and the client is naturally talking about their results with friends. It's the moment when clients are most likely to already be recommending you organically. Spokk formalizes that moment with a referral link and a reward, capturing word-of-mouth that would otherwise happen without any tracking or incentive.
Can I add a testimonial request to the SMS sequence?
Yes. A testimonial request step can be added to the automation sequence at any point. When a client taps the testimonial link, they can record a short video or write a text testimonial directly in their phone browser — no app download required. Submitted testimonials appear in your Spokk dashboard ready for use.
What happens if a client's number is a landline or doesn't receive texts?
Spokk attempts to deliver the message. If delivery fails (landline, disconnected number, etc.), the attempt is logged and no further messages are sent to that number. You can see delivery status in your dashboard.
Can the sequence be customized for different treatments or service types?
Yes. You can create different automation flows for different treatment categories — for example, a different sequence for injectable treatments (which have a natural 3-month rebooking window) vs. facial services (monthly). Different feedback forms can also be linked to different sequences.

Starter

For solo operators & small teams

$49/month

Billed $588/year

250 customers / month

Unlimited SMS included

  • 250 customers / month
  • 1 manager + 1 staff member
  • Unlimited locations
  • Dedicated toll-free SMS number (US & Canada)
  • Full automation sequence
  • AI review response drafts
  • Loyalty & referral programs
  • Feedback forms & QR codes
  • HubSpot integration & API access
  • Buy additional customer top-ups

Growth

For growing businesses & teams

$82/month

Billed $984/year

500 customers / month

Unlimited SMS included

  • 500 customers / month
  • 2 managers + 2 staff members
  • Unlimited locations
  • Dedicated toll-free SMS number (US & Canada)
  • Full automation sequence
  • AI review response drafts
  • Loyalty & referral programs
  • Feedback forms & QR codes
  • HubSpot integration & API access
  • Buy additional customer top-ups

Pro

For high-volume businesses

$166/month

Billed $1992/year

1,500 customers / month

Unlimited SMS included

  • 1,500 customers / month
  • 3 managers + 5 staff members
  • Unlimited locations
  • Dedicated toll-free SMS number (US & Canada)
  • Full automation sequence
  • AI review response drafts
  • Loyalty & referral programs
  • Feedback forms & QR codes
  • HubSpot integration & API access
  • Buy additional customer top-ups

All plans include a 14-day free trial. No charge until your trial ends. Questions?