Please submit your answers by checking the appropriate response for each question:


1) Can you participate in the Epocrates Beta test scheduled to begin during or around the week of September 10th?

  Yes
  No

2) Please provide a daytime phone number where we can reach you in case there are issues.


3) Which Web browser are you using on your computer?

  Microsoft Internet Explorer 7.0
  Microsoft Internet Explorer 6.0
  Microsoft Internet Explorer 5.5
  Microsoft Internet Explorer 5.0
  Firefox 2.0
  Firefox 1.5
  Firefox 1.0
  Netscape 8.1
  Netscape 7.0
  Netscape 6.2x
  Netscape 6.1x
  Netscape 4.7x
  Safari 2.0.x
  Safari 1.3.x
  Safari 1.2.x
  Safari 1.1.x
  Safari 1.0.x
  Other :
  I don't know

4) Who is the phone carrier on your BlackBerry device?

  AT&T/Cingular
  Rogers Wireless
  Sprint PCS
  T-Mobile
  Verizon Wireless
  Other :

5) What type of data plan do you have on your BlackBerry device?

  Unlimited data plan (no limits on amount of email or Internet data received).
  Data plan with limits on amount of email or Internet data that I can receive.
  I cannot get email or use the Internet on my BlackBerry device.
  I don't know.

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