// case study 05 · Health-tech (D2C) · EN / PL / ES
Three languages, 540 pages, six weeks. Four months later, Bing's AI answers cite it 2,000 times a day.
Symptomatik is our own health platform in English, Polish and Spanish: lab-test explainers, validated mental-health questionnaires, health calculators and an AI lab-results explainer. We built 540 pages in six weeks, every health page sourced and marked up as a medical page. Bing and its AI answers took it up first: citations went from 102 a day in June to 2,073 a day in the second week of September, and Bing clicks rose 6.3x. Google is still weighing a four-month-old health site, and this page shows that too.
20x
Citations a day in Bing's AI answers: 102 in June to 2,073 (9-15 Sep)
68,820
Citations in Bing's AI answers, 10 May-16 Sep 2026
6.3x
Bing clicks a day: 5.6 in June to 35.7 (9-15 Sep)
540
Pages: 180 each in EN, PL and ES, built in six weeks
// the curve: daily citations in bing's AI answers
- pillars live: 31 May
- AI explainer: 17 Jun
- 16 Sep: 2,621, record
// the receipts: unedited screenshots
The chart above is ours. These are the tools it was drawn from, exactly as they print it. Every shot says which window it covers, and the caption says what it proves and what it does not.
68.8K total citations · 59 avg. cited pages
The curve above, as Bing prints it: every citation of Symptomatik in Copilot and partner AI answers. The blue line is the number of different pages cited each day, which rises with the citations, so the growth is spread across the catalogue.
Bing Webmaster Tools, symptomatik.com · Open full size ↗
1.9K clicks · 143.3K impressions · 1.33% CTR
The visits behind the citations: Bing clicks and impressions over the same months, rising in weekly waves. This is Bing search only; Google is in the table below and in the honest part.
Bing Webmaster Tools, symptomatik.com · Open full size ↗
top query: pcl 5 scoring, 1.9K citations, 12.43% share
What people were asking when Bing's AI cited the site: questionnaire scoring in English, lab tests in Spanish. The table below lists more of them, with the citation share Bing reports for each.
Bing Webmaster Tools, symptomatik.com · Open full size ↗
// the brief
A consumer health platform for someone holding a lab result, a questionnaire score or a number from a calculator, in three languages. The job: become the page AI answers quote for what that number means, on a brand-new domain in the most scrutinised category on the web.
// the play
- [→]Built in English, Polish and Spanish from the first page: the same 180-page catalogue in each language, with per-language SEO and the translations linked with hreflang.
- [→]98 lab-test explainers of about 2,000 words each, with a reference list on every page. All 98 source URLs were checked before a word was written.
- [→]15 validated mental-health questionnaires (PHQ-9, GAD-7, PCL-5 and more) with scoring, and 5 health calculators, each in English, Polish and Spanish.
- [→]Medical and FAQ structured data on every health page, and an editorial standards page in all three languages.
- [→]An AI lab-results explainer, live 17 June, on a deterministic safety core: out-of-range values escalate, and its facts come only from a clinically verified dataset.
- [→]540 pages in six weeks: first commit 21 April, all three pillars live by 31 May.
This play is what our AI SEO services, programmatic SEO services and product-led SEO services deliver.
// June against the second week of September
Daily averages for June against 9-15 September 2026, from Bing Webmaster Tools and Search Console. Bing and its AI answers carry the growth; Google's numbers are in the same table.
daily bing clicks
- 14 Sep: 54, record
pages cited in bing's AI answers, per day
- 16 Sep: 173 pages
| Signal | Before | After | Source |
|---|---|---|---|
| Citations in Bing's AI answers a day | 102 (June) | 2,073 (9-15 Sep) | Bing Webmaster Tools, AI performance |
| Pages cited in Bing's AI answers a day | 28.5 (June) | 150 (9-15 Sep) | Bing Webmaster Tools, AI performance |
| Bing clicks a day | 5.6 (June) | 35.7 (9-15 Sep) | Bing Webmaster Tools |
| Bing impressions a day | 288 (June) | 2,636 (9-15 Sep) | Bing Webmaster Tools |
| Google impressions a day | 160 (June) | 589 (9-15 Sep) | Search Console |
| Average Google position | 67.9 (June) | 59.3 (September) | Search Console, daily |
| Google clicks a day | 0.3 (June) | 1.0 (9-15 Sep) | Search Console |
- A citation is Bing's count of its AI answers (Copilot and Bing's AI summaries) linking to symptomatik.com. On 16 September they cited 173 different pages, a sign the citations spread across the catalogue.
- 14 September was Bing's best day for clicks (54), and 16 September the best day for citations (2,621). Both came in the last week of the data.
// what people asked when bing's AI cited it
Bing calls these grounding queries: the searches its AI answers ran when they cited Symptomatik. Two patterns stand out. People ask how to score a questionnaire, and the AI quotes the page that scores it. And half of the ten most-cited searches are in Spanish, answered by the Spanish lab-test explainers.
| Query | Topic | Citations | Citation share |
|---|---|---|---|
| pcl 5 scoring | Health | 1,934 | 12.4% |
| electrolitos sericos | Symptoms & Diagnosis | 937 | 21.4% |
| t3 reversa | Medical Imaging (X-ray, MRI, CT) | 656 | 27.9% |
| elastasa fecal | Symptoms & Diagnosis | 580 | 13.5% |
| epds score | Depression | 537 | 20.8% |
| zonulina en heces | Symptoms & Diagnosis | 430 | 19.3% |
| anti transglutaminasa iga | Health | 330 | 34.0% |
| psqi scoring | Sleep Health | 307 | 21.5% |
| asrs v1.1 scoring interpretation | ADHD | 251 | 34.5% |
Bing Webmaster Tools, grounding queries report for symptomatik.com, exported 18 Sep 2026 (452 queries, 28,391 citations). Queries, topics and shares as Bing prints them.
// The honest part: Google hasn't caught up yet
About one Google click a day, at an average position of 59.3 in September (80 in May). Google impressions are climbing, 160 a day in June to 589 in the second week of September, and the site appears in a handful of Google AI answers. A four-month-old domain in health has not yet cleared the bar Google sets for the category.
What we expect and when we check: On Prawomat's launch, Bing led for five months before Google took over. We re-measure Symptomatik on Google at six months, at the end of October, and this page shows what comes back.
// what the data actually says
20x
citations a day in Bing's AI answers from June to the second week of September, 102 to 2,073. The number of pages cited each day rose from 28.5 to 150, so the growth comes from the catalogue as a whole.
4,275
citations for one questionnaire's scoring alone: "pcl 5 scoring" and three variants. People ask an AI how to score a PTSD checklist, and it quotes the page that scores it. Spanish lab-test searches (electrolitos séricos, t3 reversa, elastasa fecal) sit in the top ten beside them.
59
was Google's average position in September, up from 80 in May, for about one click a day. Google holds new sites in health, finance and law to a higher bar. On Prawomat's launch, Bing led for five months before Google took over.
// takeaways you can steal
- 01 Build the reference: one test, score or calculator per page, what the number means, the ranges and the sources, marked up as a medical page. That is the page an AI answer quotes.
- 02 Ship every language as a real site. Symptomatik runs 180 pages in each of English, Polish and Spanish: half of the ten searches Bing's AI cites it for most are Spanish, and the Polish and Spanish pages earn 48 of its 66 Google clicks so far.
- 03 Measure Bing and its AI answers from day one. On a new health site they move months before Google, and Search Console alone would call this launch a failure.
// is this play right for you?
works if
- People search for a reference answer by name: a test, a score, a range.
- Every claim can cite a primary source.
- You serve more than one language.
skip it if
- You need Google traffic in the first quarter.
- Your pages have nothing an AI answer would quote.
- You cannot keep medical or legal claims reviewed.