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We turned on account-level syncing and then turned it back off. I suppose catastrophe is a possibility, though that's not what happened to us. You need a STRONG understanding of the Marketo sync and full knowledge of every field on your accounts and their integration to other systems before you even consider doing this.
In our case, we had an incident where a client list import from our support system affected client ID numbers in SalesForce because the two systems didn't match perfectly. It was easily resolved, but enough for us to decide it wasn't worth giving the Marketo user that kind of power. Chances are you can build SalesForce workflow rules to accomplish anything you need at the account level.
I find it curious that you use an account-level activity designation to determine whether or not to nurture contacts. Nurturing is the most personalized tool in our tool belt. If the secretary is visiting my Website but the President hasn't been there in weeks, I'd still want to be nurturing the President.
I certainly agree with Delinda's thought that nurturing is personal and has less to do with the Account than getting the right people to say "yes" to whatever it is you are trying to help with.
That being said you might find it more helpful to run this in SFDC and use the Contact level Active checkbox or a Contact Status picklist as a better indicator of who is engaged. You could then have SFDC manage the Account level activity with maybe a High/Med/Low Account Status field that SFDC can use based on the % of Contacts Active within the Account.
Also use the Company Web Activity report to help gauge overall firm activity.
Thanks for the answers. I ended up turning on account-level syncing and blocked a handful of fields from updating.
I should specify, whether an account is active or not is not a basis for nurturing, but we have specific nurturing campaigns for, for example, accounts that still have end-users but nobody maintaining the service. Those accounts get nurtured to differently.