IBD (Inflammatory Bowel Disease) App Interest Form
Hi there IBD warrior! I am creating some amazing IBD content in the form of an app and looks like you are interested in what I have to offer. 

I am in the middle of finalizing all of the content development and all that fun stuff. I should be launching in the next 2 weeks, so if you want to be one of the first people in the know, please fill out this form!

This pilot round will be offered for FREE with then an option after 4 weeks to convert to a paying monthly subscription. My ask from you will be if you loved it, to tell all your friends and help me in making this even better. 
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Email *
What is your first and last name? *
Will you be able to commit to 4 weeks of using my new app? Tentative start date is: January 16, 2023? *
What kind of IBD do you have? *
When were you diagnosed with IBD? *
How would you rate the severity of your IBD on a scale of 1 to 5 (with 1 being mild and 5 being severe)? *
How often do you experience flare-ups?
 *
What is the biggest challenge you face in managing your IBD?
 *
What tools or resources do you currently use to manage your IBD (select all that apply)?
 *
Required
Have you used any mobile apps to help manage your IBD? If yes, what features do you find most helpful?
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