Question: Why didnt Calls work? Suggestions: Try manual over smart. Smart tends to be wasteful on spend, especially at lower volumes, and if you dont have the required number of conversions, you could just be hurting yourself instead of finding progress. If you're looking for help, feel free to reach out. I've ran campaigns for Medical Companies for over 6 years been in the SEM space for 20. Happy to have a look and help if you need it.