Research sign up

Please use the form to sign up for research interviews. We only collect your info for our internal use only. If you have any questions, please feel free to reach out via social media. Thank you!

First name*

This is so we know what to call you :)

Last name

This is optional!

Email *

This is so we know how to reach out to you for the beta (or earlier testing/feedback).

Which country are you from? *

This is so we can know which region we should look into release the app to.

What would you most need help with in terms of managing your symptoms and getting better care?

This is so we can get ideas on what features/products to make to better serve people like you.

May we contact you to interview you for your patient experience & design feedback while we're in the development state of the app (pre-beta launch)? *Yes! Would love to!No thank you.

Would you like to receive newsletters that include behind-the-scene progress updates as we're building the app? *Yes! Would love to!No thank you.

Anything else you'd like to add?

Thank you! Your submission has been received!

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Neuemoon’s app, products, and services are intended only for maintaining and encouraging a healthy lifestyle and are not to be used for the diagnosis, cure, management, prevention, or treatment of any disease or condition.

Stay in the loop as we're building Neuemoon.
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