You scratch your head, unable to fathom why your Google Adwords campaign hasn’t changed, yet your business hotline has stopped ringing.
Perhaps Google has installed a new feature on Adwords that you don’t know about, although this is unlikely.
Has your Adwords manager or consultant perhaps tweaked the settings for a trial period? A good feedback loop between you both is essential after any Adwords adjustments to see if these have directly affected customer phone calls and real business.