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Registration - New User Survey

The products available from Mobile Medica are free. So that we may improve the products we deliver, we require you first fill out the following brief registration questionnaire and validate your email address. The data collected are used to determine technology and use trends, and are not used in an individually identifiable way.

When you return to this site later, simply re-enter your email address when prompted, and you will not need to re-enter this information.

1. How would you characterize yourself?
(select a category, then a description)

  Choose a category:   Select a description:

2. Select the type of handheld device you currently use?
(select a brand, then a model)

  Choose an OS:   Choose a brand:   Select a model:

3. Do you currently use a wireless service with your handheld?

Yes     No

4. How soon do you plan to upgrade your handheld device?
(Please choose one)

Don't plan to upgrade
Will upgrade in next 3 months
Will upgrade in next 6 months
Will upgrade in next 12 months

5. To what kind of computer/operating system do you connect your handheld for synchronization? (Please choose one)

Please enter an email address. Your email address will be your login name when you return.
Enter your email address:  

NOTE: APPRISOR requires validated emails for access to the FREE downloads. A registration code will be sent to your email address.

 I want to receive email updates from Mobile Medica.

 I want to receive email updates from select third-parties via Mobile Medica.
Note: In neither case above do we share your email address with third-parties.

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