MedMatcha Profile Survey

Please complete a separate profiling survey for each different product/service/website you wish to add to the MedMatcha network. If you would like to link different profiles, just use the same email address for each profile that you create and we will make sure they are linked to the same account. Do not worry if you make a mistake, you will be able to to edit your profile choices later.

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1. Please add your contact details (we will not pass these details on to anyone else and will only use your phone number if email communications appear not to be getting through)

Please add your contact details (we will not pass these details on to anyone else and will only use your phone number if email communications appear not to be getting through) Name:
Company:
Country:
Email Address:
Phone Number:

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2. Are you an advertiser (wanting to advertise a product, service or website via MedMatcha), a publisher (wanting to get ads to place on your website), or both?

Are you an advertiser (wanting to advertise a product, service or website via MedMatcha), a publisher (wanting to get ads to place on your website), or both? advertiser

publisher

both

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3. Do you target a particular gender?

Do you target a particular gender? male

female

both

4. Do you target a particular age (select all that apply or leave blank if not relevant)?

Do you target a particular age (select all that apply or leave blank if not relevant)? babies

children

teenagers

young adults

adults

senior citizens

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5. Please enter the name of your product/service/website:

Please enter the name of your product/service/website:

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6. Please enter your website url:

Please enter your website url:

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7. Is your website a blog?

Is your website a blog? yes

no (select if the website includes a blog but is not 'only' a blog)

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8. Is your website a forum or social network (eg. Ning, Facebook, etc)?

Is your website a forum or social network (eg. Ning, Facebook, etc)? no

yes

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9. Who is your website/product/service aimed at?

Who is your website/product/service aimed at? medical professionals

members of the public (health consumers)

both medical professionals and the public (health consumers)

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10. Please enter a description of your website/product/service:

Please enter a description of your website/product/service:

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11. Are there any non-US countries, or languages other than English, that are specifically relevant to your website/product/service? (select no if you are international without specific targeting and do not offer other language options)

Are there any non-US countries, or languages other than English, that are specifically relevant to your website/product/service? (select no if you are international without specific targeting and do not offer other language options) yes

MedMatcha Profile

1. Basic Description

*1. Please add your contact details (we will not pass these details on to anyone else and will only use your phone number if email communications appear not to be getting through)

*2. Are you an advertiser (wanting to advertise a product, service or website via MedMatcha), a publisher (wanting to get ads to place on your website), or both?

*3. Do you target a particular gender?

4. Do you target a particular age (select all that apply or leave blank if not relevant)?

*5. Please enter the name of your product/service/website:

*6. Please enter your website url:

*7. Is your website a blog?

*8. Is your website a forum or social network (eg. Ning, Facebook, etc)?

*9. Who is your website/product/service aimed at?

*10. Please enter a description of your website/product/service:

*11. Are there any non-US countries, or languages other than English, that are specifically relevant to your website/product/service? (select no if you are international without specific targeting and do not offer other language options)