The document outlines the top 10 ways to fail with Google AdWords, including targeting broad geographic areas as a local business, having unfocused display network campaigns, using generic ad groups with unrelated keywords, pointing ads to low quality or non-relevant landing pages, using unlimited cost per click bids without limits, bidding broadly on single keywords, not including relevant keywords in ad copy, maintaining huge lists of underperforming keywords, neglecting to use negative keywords, and running campaigns without conversion tracking.