It's moved to target impression share. I added this to the campaign names any time this is done. I only do this as a last resort when there is nothing else I can do with a campaign due to performance of landing page, extremely low search volume, etc. Once it goes to Target IS, it is what it is until we go back to the drawing board. 

Chris can you please weigh in here. Shane  needs your decision making on what to do for this account. 

Shane  - Do whatever you need to do, it's a very small town so the game will need to be different. 

We're actually doing quite well. Last 30 days vs 30 prior leads went from 4 to 5, CPA dropped from $335 to $87. There just isn't $1500 worth of search volume of Emsculpt in this market. I can make some small changes, but will capture everything possible.