Thanks for your interest in helping us improve our products by being part of our beta tester program!

We'd like to learn a bit more about you and then we'll let you know if we've selected you for a beta testing role.


By sharing your information with us, you are giving us permission to contact you in the future to invite you to give feedback on our projects. You will not be solicited to purchase anything, and your information will not be sold or shared. We like you, and we want you to like us.

Questions? Email diabetesappfeedback@gmail.com or give us a call: (415) 944-7048.

Thanks,

-Andrew
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1. What's your name?
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2. What's your electronic mail address? (Did we really just spell out email? Yes, yes we did.)
3. In what city and state do you live? We ask this because we sometimes come out of our secret lair and do events in the sunlight.
4. What is your primary mobile device?
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5. Do you have diabetes?
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6. Do you have hypertension?
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7. Do you have hypercholesterolemia (high cholesterol)?
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8. [Sorry about this downer of a question... our lawyers made us ask] "Are you associated with a company engaged in the healthcare space, including software, hardware, services, or investment?"
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9. In a sentence or two, please let us know why you'd like to be part of the beta tester program. If you're selected, you'll be learning all about what we're doing, so we like to know a little bit about you!
Image as described above
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10. Cat wearing duck hat?
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