# Strategy #2 - Lookalikes

#### The problem this solves

You’ve optimized demand capture — now you need more of the right people.

***

#### What you need in Freshpaint to power lookalikes

Lookalikes only work if you first build a high-quality source audience in Freshpaint.

That source audience must be made from first-party data and include allowlisted identifiers (email, phone) so ad platforms can learn from it.

There are two common ways customers create this source audience in Freshpaint:

***

**Option 1 — Behavioral signals tracked by Freshpaint**

If Freshpaint is tracking your conversion events, you can build a segment of your best converters.

Examples:

| **Event tracked by Freshpaint** | **How it’s used for lookalikes**           |
| ------------------------------- | ------------------------------------------ |
| Appointment completed           | Build a source audience of recent patients |
| Form submitted + qualified      | Build a source of high-intent leads        |
| Call completed                  | Build a source of high-intent callers      |

You create this as a segment inside Freshpaint Audiences and sync it to your Audiences destination(s). 

***

**Option 2 — Upload high-value customer lists (CSV)**

For cases where value is defined outside the website, you upload lists into Freshpaint.

These lists often come from:

* CRM export (high-LTV customers, qualified leads)
* EHR export (recent patients, specific procedure types)
* Membership system export (online enrollees)
* Data warehouse export (scored or segmented cohorts)

You upload this CSV into Freshpaint to create a high-value source audience.

***

#### Important: identifiers are required

The audience must include allowlisted identifiers like:

* Email
* Phone number
* IP address

These allow ad platforms to match users and build lookalike models.

***

#### How lookalikes actually happen in practice

Freshpaint does not create the lookalike.

You:

1. Build the high-value source audience in Freshpaint
2. Sync that audience to Meta / Google / Microsoft / DSPs / etc.
3. Create a Lookalike Audience inside the ad platform using that source

***

#### When lookalikes should be a part of your strategy

Choose lookalikes if:

* You have a clean “high-value” audience
* Your existing campaigns are stable
* You need new patient/member growth

***

#### Strategic outcomes to expect

* Scalable prospecting
* Lower CPA at scale
* Stronger platform learning

***

#### Typical healthcare examples

* New patients similar to recent converters
* New members similar to online enrollees
* New prospects similar to high-LTV cohorts

Ready for the next strategy?[ Click here to learn when to use Retargeting.](https://documentation.freshpaint.io/~/revisions/n78hLTZVTzvsB5jQ58ss/audiences/audiences-strategy-guides/strategy-2-lookalikes)


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