Yes, negative keywords can miss close variations depending on the match type, I would recommend you to check the search terms report regularly before adding more negatives.
You can check the billing report and invalid click adjustments before assuming the agency is responsible, because google ads can take time to update click and cost data after pausing a campaign
Check the keyword diagnostics and campaign settings before duplicating again, also verify that the location targeting and bidding strategy aren't limiting delivery.
You should look at lead gen for lawyers or dental clinics because these can have strong search intent and people are already looking for the service and also google also supports these types of local businesses.
I’ve been wondering about this too, a few recent BMs started faster without any obvious increase in restrictions and hard to say if warmup still makes much difference.
Yes, looks like Meta changed the support process you can try going through Business Manager and then support and Contact Support because the option may vary depending on the account.
One thing I noticed is that higher CPC does not always mean worse results because better conversion tracking and tighter keyword targeting can make a big difference even when clicks are more expensive.
I think 4 days is still pretty early for PMax because If your feed and tracking are set up properly I would let it run a little longer and see how it picks up.
I would recommend you to focus on conversion tracking first, once tracking is working properly you can improve your targeting and keywords based on real data.
It's Good approach as keeping the appeal clear and factual is usually better than making many changes during review and also important to check the account details and website compliance before submitting an appeal.
I think you can run Bing Ads if your offer complies with their policies because a regular Bing Ads account is usually enough and you don't need an agency account unless you're managing multiple client accounts.
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