Direct answer
Before you sign, ask who will actually do the work, what access you will get, what is reported and how often, and what happens to the work if you leave. Walk away from anyone who guarantees a ranking position or a number of leads, will not say which changes they will make to your site, or wants your domain or Google profile in their own account. After two or three months, check Search Console and your profile's Performance page yourself rather than relying on the agency's report.
Most of what makes an SEO agency good or bad is invisible until months into the contract. The questions below bring some of it forward to the first call, and the last section shows how to check the work yourself once it has started. None of it depends on hiring us. Use it on every agency you speak to, including this one.
The questions come in three groups: what to ask before signing, the answers that should end the conversation, and what to look at after two or three months. Most of the rules are Google's own, quoted from its guidance on hiring an SEO.
Where should you start looking?
Probably not with the word "best". When we pulled the top ten Google results
for seo agency abu dhabi in September 2026, four of the seven agency pages
called themselves the best or the number one in their own page title. Any
agency can write that about itself, so it tells you nothing. Treat a shortlist
built from "best agency" searches as a list of names to question, not a
ranking.
A clinic owner has one advantage here: the shortlist does not need to be long. Three agencies, asked the same questions in the same order, will tell you more than ten sales calls.
What should you ask before signing?
Who will actually do the work? Ask for the names of the people who will touch your site and your Google profile, and what each of them does. The person on the sales call is often not one of them. If the work is passed to a junior team or a subcontractor, you are entitled to know before you sign, not after the first report.
What access will you get, and in whose name? Your domain, your website's hosting, Google Search Console, Google Analytics and your Google Business Profile should all sit in accounts the clinic owns, with the agency added as a user. Search Console makes the difference clear. An owner "Has full control over properties in Search Console." A full user "Has view rights to all data and can take some actions." The agency can do its job as a user. You need to be an owner.
What is reported, and how often? Ask to see a real report, with the client name removed, before you sign. A useful one says what was changed, on which pages, and what happened to impressions, clicks, calls and enquiries since. A report made of activity counts ("40 keywords tracked", "12 tasks completed") tells you what the agency did, not whether it worked. Ask, too, whether the numbers in the report come from tools you can open yourself.
Will they tell you every change they make to your site? This one comes straight from Google's list of questions to ask an SEO:
Will you share with me all the changes you make to my site, and provide detailed information about your recommendations and the reasoning behind them?
Google repeats the point later on the same page: "Be careful if a company is secretive or won't clearly explain what they intend to do." It also explains why it matters to you rather than to the agency: "Ultimately, you are responsible for the actions of any companies you hire". If an agency builds spammy links or publishes misleading pages in your name, it is your site that pays for it.
What happens to the work if you leave? Ask it plainly: if we stop after six months, what do we keep? The pages written for you, the fixes made to the site, the audit, the reports and every account should stay with the clinic. Watch for content that lives on the agency's own platform, landing pages on a domain they control, or a phone number that is theirs. When you leave, those go with them.
Is the website yours? If the agency also builds or hosts your site, ask who holds the domain registration, who holds the hosting account and whether you get the files or the content if you go. A clinic that cannot move its own website has not hired a supplier. It has handed the supplier a lock.
How the written proposal should then be read, and what to challenge in it, is on our SEO packages page. The questions above come first, because they decide whose proposal is worth reading at all.
Which answers should end the conversation?
A guaranteed ranking position. Google is direct about this:
No one can guarantee a #1 ranking on Google. Beware of SEOs that claim to guarantee rankings, allege a "special relationship" with Google, or advertise a "priority submit" to Google.
And, about the audit an agency offers you at the start: "If they guarantee you that their changes will give you first place in search results, find someone else." An agency can tell you which searches look winnable and roughly how long they might take. It cannot promise where Google will put you.
A promised number of leads. Google does not document this one, so this is our reasoning rather than its rule. The number of patients who search for a treatment in your area in a given month is not something any agency controls, and neither is how many of them choose you over the clinic above or below you. A specific lead count in a proposal is either a guess or a figure the agency will hit by counting things that are not leads. Ask how they define one before anything else.
Refusing to name the changes they will make to your site. "Our methods are proprietary" is the answer to watch for. The work that moves rankings is documented by Google and is no secret: pages that answer what patients search, a site Google can crawl, a complete and accurate Google profile. An agency that will not say what it intends to change is asking you to take responsibility for work you cannot see.
Your domain or Google profile in their account. Google's help describes what an owner can do: "As the owner, you have full control over the profile. You can add or remove users, manage profile info, and even delete the profile." It also says "A Business Profile can have multiple owners but only one primary owner." That primary owner should be the clinic. An agency added as a manager can edit the profile, reply to reviews and publish posts. Google lists the one thing it cannot do: "The only exception is they can’t add or remove users or remove the profile." That is exactly the protection you want. The same applies to the domain: it should be registered to the clinic, in an account the clinic can log into.
A request to link to them. Google's guidance is short: "You should never have to link to an SEO." A footer credit on your site is a small thing. A contract that makes it a condition of the work is not.
Would these questions rule us out?
They should be able to, and for some clinics they will. Ryden Studio is one person. The person on the first call is the person who does the work, which answers the first question well. It also means one person's capacity, no account team and no cover from colleagues, which is a fair reason to choose a larger agency if that matters to you. We do not run paid ads or social media, so a clinic that wants one supplier for all of its marketing should look elsewhere. The studio was founded in 2022. Google's list asks "How long have you been in business?", and that is our answer.
The rest of this page applies to us exactly as written. If we ever guarantee you a position, hold your profile in our account or will not tell you what we changed, the advice above is to leave.
After two or three months: how to check for yourself
You do not need the agency's report to see what has changed. You need two screens you already have access to, as long as the clinic owns the accounts.
Search Console, Performance report. Open the Performance report and set the date range to compare the most recent three months with the three months before the work began. Look at four things:
- Impressions — how often your site appeared in results. In our experience this usually moves before clicks do, because a page has to be shown before it can be chosen.
- Clicks — how often someone chose your site from Google.
- The Queries tab — whether the searches you show up for are the ones you care about: your treatments, your area, your clinic's name. Growth on unrelated searches is not progress.
- The Pages tab — which pages gained. If the agency says it improved your treatment pages, those are the rows that should have moved.
Read average position with care. Google defines it as "The average position of the topmost result from your site." It is an average across every search you appeared for, so it can fall while things improve, for example when you start appearing for many new searches lower down. And do not judge it by searching on your own phone: Google notes that "Search results are specific to the time, place, device, and recent history of the person searching."
Your Google Business Profile, Performance. Open your profile and select Performance, with the same two periods. The numbers that matter most to a clinic are calls, website clicks and direction requests. Google defines a website click as "The number of times people clicked on the website link on your Business Profile." One caution if the same agency also runs your Google Ads: "Performance data includes views, searches, and actions from both organic search results and Google Ads." An increase in interactions may then come from ad spend rather than from the SEO work, so ask which part is which.
What to expect at that point. Two or three months is early for competitive searches and a fair time to see the first movement on local ones. If neither screen shows any change, and the agency cannot explain why with specifics, you have your answer. If both show movement on the searches you care about, the monthly report should be telling you the same story. If it tells a better one, ask where its numbers come from.
Where to start
Before your next agency call, check two things that take five minutes: open Search Console's Users and permissions page and your profile's People and access page, and see whose names are listed as owners. If the clinic is not one of them, that is the first thing to fix, whoever you hire. What the SEO work itself involves, and how long it usually takes, is on our SEO in Dubai page.
Frequently asked questions
- What questions should I ask an SEO agency before hiring it?
- Who will do the work, by name. Whose account the domain, website, Search Console and Google Business Profile will sit in. What will be reported, how often, and whether you can check the numbers yourself. What happens to the work and the access if you leave. Google's own list adds "Will you share with me all the changes you make to my site, and provide detailed information about your recommendations and the reasoning behind them?"
- Can an SEO agency guarantee first place on Google?
- No. Google's guidance on hiring an SEO says "No one can guarantee a #1 ranking on Google." and, about audits, "If they guarantee you that their changes will give you first place in search results, find someone else."
- Who should own my clinic's Google Business Profile?
- The clinic. Google says "A Business Profile can have multiple owners but only one primary owner." That primary owner should be a Google Account the clinic controls. An agency can be added as a manager, which lets it do the day-to-day work without being able to remove users or delete the profile.
- How do I know if my SEO is working?
- Open Search Console's Performance report and compare the last three months with the three before the work started: impressions, clicks and the queries behind them, for the treatments and areas you care about. Then open your Business Profile's Performance page for calls, website clicks and direction requests over the same periods. If the agency's report and these two disagree, ask why.
- Should I give an SEO agency access to Search Console?
- Yes, as a user you can remove, not as the only owner. For an audit, Google's advice is to "only grant read access to Search Console (at this stage, don't grant them write access)." Keep at least one owner account that belongs to the clinic.