Strategy #2 - Lookalikes

Use when your goal is efficient/additional growth

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.